Individual
MATTHEW S BOURDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2900 S HANOVER ST, BALTIMORE, MD 21225-1232
(301) 540-6140
(301) 540-5190
Mailing address
2653 CEDAR ELM DR, NRH REHAB NETWORK - #215, ODENTON, MD 21113-2905
(410) 708-4763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24069
MD
Other
Enumeration date
07/18/2012
Last updated
08/20/2016
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