NPI 1013149418

Bruce Bourbeau, PTA

Practitioner Physical Therapy Assistant Manchester, NH

Practice location

Address: 235 Myrtle St, Manchester, NH 03104-4314
Phone: (603) 627-3811
Mailing address: 271 Wellington Hill Rd, Manchester, NH 03104-6463

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 910 (NH)

Other Physical Therapy Assistant providers in New Hampshire →

Registry record

NPI: 1013149418
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2009
Record last updated: 18 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.