Individual
MR. THOMAS STEPHEN BOURDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
190 BIRCH ST, LEWISTON, ME 04240-6408
(207) 333-3236
(207) 783-3347
Mailing address
80 ANDROSCOGGIN AVE, APT 1, LEWISTON, ME 04240-6606
(207) 671-5016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATC185
ME
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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