Mr. Lawrence Bourdeau, DPT, ATC, CSCS, OTC
Physical Therapist in North Andover, Massachusetts
1659556355- Practice location
- 1820 Turnpike St Ste 200, Off-Season Sports & Physical Therapy, North Andover, MA 01845-6327
- Phone
- 978-688-6181
- Fax
- 978-688-5120
- Last updated
- October 21, 2010
Lawrence Bourdeau is a Physical Therapist based in North Andover, MA. Lawrence Bourdeau practices in North Andover, MA and has the professional credentials of DPT, ATC, CSCS, OTC. The NPI Number for Lawrence Bourdeau is 1659556355 and holds a License No. 18051 (MA). The current practice location address for Lawrence Bourdeau is 1820 Turnpike St Ste 200, Off-Season Sports & Physical Therapy, North Andover, MA 01845-6327 and can be reached out via phone at 978-688-6181 and via fax at 978-688-5120.
Provider Profile Details
- NPI Number
- 1659556355
- Provider Name
- Lawrence Bourdeau
- Credential
- DPT, ATC, CSCS, OTC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1820 Turnpike St Ste 200, Off-Season Sports & Physical Therapy, North Andover, MA 01845-6327
- Phone Number
- 978-688-6181
- Fax Number
- 978-688-5120
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 2, 2008
- Last Update Date
- October 21, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1820 Turnpike St Ste 200
Off-Season Sports & Physical Therapy
North Andover, MA 01845-6327 - City
- North Andover
- State
- Massachusetts
- Zip
- 01845-6327
- Phone Number
- 978-688-6181
- Fax Number
- 978-688-5120
Provider Business Mailing Address Details
- Address
- 1820 Turnpike St Ste 200
Off-Season Sports & Physical Therapy
North Andover, MA 01845-6327 - City
- North Andover
- State
- MA
- Zip
- 01845-6327
- Phone Number
- 978-688-6181
- Fax Number
- 978-688-5120
License Information
- License Number (1)
- 18051
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 1845
- License State (2)
- MA
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Lawrence Bourdeau, DPT, ATC, CSCS, OTC?
The NPI number of Mr. Lawrence Bourdeau, DPT, ATC, CSCS, OTC is 1659556355. It was assigned on January 2, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Lawrence Bourdeau, DPT, ATC, CSCS, OTC?
Mr. Lawrence Bourdeau, DPT, ATC, CSCS, OTC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 18051.
Where does Mr. Lawrence Bourdeau, DPT, ATC, CSCS, OTC practice?
The practice location is 1820 Turnpike St Ste 200, Off-Season Sports & Physical Therapy, North Andover, MA 01845-6327. The office can be reached at 978-688-6181 (phone) or 978-688-5120 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659556355 directly on the NPPES registry website.