| Daniel Blaise Othon Noel Bours, PT | |
|
52 Lodato Ave, San Mateo, CA 94403-1724 | |
| (415) 828-2148 | |
| Not Available |
| Full Name | Daniel Blaise Othon Noel Bours |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 36 Years |
| Location | 52 Lodato Ave, San Mateo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952263717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 19196 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Luna Care Physical Therapy Pc | 9638427834 | 762 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Blaise Othon Noel Bours, PT 52 Lodato Ave, San Mateo, CA 94403-1724 Ph: (415) 828-2148 | Daniel Blaise Othon Noel Bours, PT 52 Lodato Ave, San Mateo, CA 94403-1724 Ph: (415) 828-2148 |
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