Individual provider · NPI-1

Donna Maria Bordeaux

Physical Therapist · Brunswick, ME

NPI number1386737872
StatusActive
Last updated in NPPESJun 28, 2011

Details

NPI
1386737872
Entity type
Individual (NPI-1)
Name
Donna Maria Bordeaux
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2006
Last updated
Jun 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT651MEYes

Other names

  • Donna Dutton (Former Name)

Practice location

22 Lincoln Street
Brunswick, ME 04011

Phone 207-729-1164 · Fax 207-725-0905

Mailing address

22 Lincoln Street
Brunswick, ME 04011

Phone 207-729-1164 · Fax 207-725-0905

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