Provider Demographics
NPI:1518193655
Name:HOPE-BOURGEOIS, COURTNEY LYNN (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:LYNN
Last Name:HOPE-BOURGEOIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 E HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-4761
Mailing Address - Country:US
Mailing Address - Phone:225-743-2060
Mailing Address - Fax:225-743-2065
Practice Address - Street 1:1227 E HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4761
Practice Address - Country:US
Practice Address - Phone:225-743-2060
Practice Address - Fax:225-743-2065
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07569225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist