Bruce Bourbeau, PTA
NPI #1013149418 in Manchester, New Hampshire
Provider Information
- NPI Number
- 1013149418
- Entity Type
- Individual
- Name
- Bruce Bourbeau, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 18, 2009
- Last Updated
- Aug 18, 2009
Practice Location
- Address
- 235 MYRTLE ST
- City
- Manchester
- State
- New Hampshire
- ZIP Code
- 03104-4314
- Phone
- (603) 627-3811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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