Individual provider · Type 1 NPI

Bruce Bourbeau, PTA

Physical Therapy Assistant · Manchester, NH

NPI number 1013149418 Active

Practice location

235 Myrtle St
Manchester, NH 03104-4314

Mailing address

271 Wellington Hill Rd
Manchester, NH 03104-6463

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X910 (NH)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1013149418

Bruce Bourbeau, PTA's National Provider Identifier is 1013149418, issued on Aug 18, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Manchester, NH. The record was last updated on Aug 18, 2009.