IndividualActive
Bruce Bourbeau, PTA
NPI 1013149418 · Physical Therapy Assistant · Manchester, NH
Provider details
- NPI number
- 1013149418
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 910 (NH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
235 Myrtle St
Manchester, NH 03104-4314
Phone: (603) 627-3811
Approximate (ZIP-level) locationGet directions
Mailing address
271 Wellington Hill Rd
Manchester, NH 03104-6463
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.