Bourne, Jennifer Louise

Bourne, Jennifer Louise is an individual health care provider with primary practice located at 7280 Lagae Rd Unit F, Castle Rock CO 80108. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bourne, Jennifer Louise can be contacted via phone (720) 733-3655.

Contact Information

Primary practice address
7280 Lagae Rd Unit F Castle Rock CO 80108
Phone: (720) 733-3655
Fax: (720) 733-3656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9754 Colorado

Profile Details

NPI number 1972799229
LBN Legal business name Bourne, Jennifer Louise
Credentials PT, DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Feb 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972799229 NPPES
Colorado Other 9754 STATE LICENSE

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