Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Sevan Bourque Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1033685664

Mark Sevan Bourque Jr., PTA is a Physical Therapy Assistant in Mobile, Alabama. Licensed in Alabama. Registered with an NPI since 2018.

Licensed in
AL
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1220 Azalea Rd
Mobile, AL 36693-2859
Phone: (125) 158-3165
Fax: (888) 539-6550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA9163 (AL)

Record details

NPI number1033685664
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESOctober 22, 2018
Mailing address1220 Azalea Rd, Mobile, AL 36693-2859

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