Individual
JIM BIENVENUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 CHRISTIAN HILL RD, GREAT BARRINGTON, MA 01230-1108
(413) 528-7121
Mailing address
PO BOX 3524, PITTSFIELD, MA 01202-3524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0050
CT
225200000X
Physical Therapy Assistant
Primary
6295
MA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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