Individual provider · Type 1 NPI
Larrievel Fey Rodriguez Bourgoyne
Geriatric Physical Therapist · Meadows Place, TX
Practice location
11919 W Airport Blvd
Meadows Place, TX 77477-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 1247183 (TX) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
About NPI 1063884773
Larrievel Fey Rodriguez Bourgoyne's National Provider Identifier is 1063884773, issued on Oct 21, 2015. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Meadows Place, TX. The record was last updated on Feb 18, 2016.