Individual
ARMAND THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
110 LIBERTY ST, SUITE 1300, BROCKTON, MA 02301-5521
(508) 580-0144
(508) 580-0449
Mailing address
322 E CENTER ST, WEST BRIDGEWATER, MA 02379-1824
(508) 559-0993
(508) 559-5072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18306
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226531
MEDICARE
MA
Enumeration date
06/30/2008
Last updated
06/30/2008
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