Whalio Doctors

NPI 1043683436

Jim Bienvenue

Practitioner Physical Therapy Assistant Great Barrington, MA

Practice location

Address
151 Christian Hill Rd, Great Barrington, MA 01230-1108
Phone
(413) 528-7121
Mailing address
PO Box 3524, Pittsfield, MA 01202-3524

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 6295 (MA)
Physical Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0050 (CT)

Registry record

NPI
1043683436
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Nov 2015
Record last updated
6 Nov 2015

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.