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

Marquis Everett Bourne

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1386404192

Marquis Everett Bourne is a Physical Rehabilitation Occupational Therapist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

5842 Florence Ave
Philadelphia, PA 19143-4530
Phone: (215) 546-5960
Show map & directions

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

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence OP007808 (PA)

Record details

NPI number1386404192
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

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