TIFFANY BOURGET, OTR/L

Contractor

Active Individual
NPI: 1740460302

Practice Address

306 CONCORD CT
Georgetown, KY 40324

Phone: (859) 576-2973

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes KY-R3242 (KY)

Frequently Asked Questions

NPI 1740460302 is the National Provider Identifier for TIFFANY BOURGET, OTR/L, a Contractor provider located in Georgetown, KY. This NPI was enumerated on November 11, 2007.
TIFFANY BOURGET, OTR/L practices at 306 CONCORD CT, Georgetown, KY 40324.

Quick Facts

NPI
1740460302
Type
Individual
Enumerated
Nov 11, 2007
Last Updated
Nov 11, 2007

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