IndividualActive
Larrievel Fey Bourgoyne
NPI 1063884773 · Geriatric Physical Therapist · Meadows Place, TX
Provider details
- NPI number
- 1063884773
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1247183 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11919 W Airport Blvd
Meadows Place, TX 77477-2409
Phone: (281) 206-0785
Approximate (ZIP-level) locationGet directions
Mailing address
11919 W Airport Blvd
Meadows Place, TX 77477-2409
Registry dates
- Enumerated
- 2015-10-21
- Last updated
- 2016-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.