Matthew S Bourdeau, PT
Physical Therapist in Baltimore, MD. Individual provider (NPI-1).
NPI number1487909263
StatusActive
Last updated in NPPESAug 20, 2016
Details
- NPI
- 1487909263
- Entity type
- Individual (NPI-1)
- Name
- Matthew S Bourdeau
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2012
- Last updated
- Aug 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 24069 | MD | Yes |
Practice location
2900 S Hanover StBaltimore, MD 21225-1232
Phone 301-540-6140 · Fax 301-540-5190
Mailing address
2653 Cedar Elm DrNrh Rehab Network - #215
Odenton, MD 21113-2905
Phone 410-708-4763
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