Matthew Dennis Bourbeau in Springfield - Physical Therapy Assistant

Matthew Dennis Bourbeau - NPI 1780762773

Matthew Dennis Bourbeau is a Physical Therapy Assistant in Springfield, Massachusetts. Matthew Dennis Bourbeau practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Matthew Dennis Bourbeau is 1780762773. The last update date is 2007-07-16.

Matthew Dennis Bourbeau's current location address is 300 Stafford St, Springfield, Massachusetts. You can contact this provider via phone number 4137348440 and fax number 4137316703. The mailing address for Matthew Dennis Bourbeau is 300 Stafford St, Springfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Dennis Bourbeau
Address 300 Stafford St, Springfield, Massachusetts
Phone Number 4137348440
Fax Number 4137316703
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1780762773
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-16

Provider Mailing Address Detail

Address 300 Stafford St
City Springfield
State Massachusetts (MA)
Post Code 11043581
Phone Number 4137348440
Fax Number 4137316703

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2200
Definition:
(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 Post

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FAQs about Matthew Dennis Bourbeau

What is the Matthew Dennis Bourbeau's unique identification number?

The Matthew Dennis Bourbeau has been assigned the NPI (National Provider Identifier) Number 1780762773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Matthew Dennis Bourbeau?

The Matthew Dennis Bourbeau is situated at 300 Stafford St, in the city of Springfield, state of MA, with the zip code 11043581.

What is the Matthew Dennis Bourbeau's specialty and taxonomy code?

The Matthew Dennis Bourbeau's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

When did the Matthew Dennis Bourbeau receive its 1780762773?

The Matthew Dennis Bourbeau was issued its 1780762773 on 2006-11-01, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Matthew Dennis Bourbeau, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Matthew Dennis Bourbeau, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-16.

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