Daniel Blaise Othon Noel Bours, PT Valid NPI

Individual provider · Physical Therapist · San Mateo, CA

NPI

1952263717

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

19196 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2025-12-01

Last updated

2025-12-01