Individual
AMANDA L BOURBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
588 MAIN ST STE 6, SHREWSBURY, MA 01545-2920
(508) 981-0847
Mailing address
588 MAIN ST STE 6, SHREWSBURY, MA 01545-2920
(508) 981-0847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8585
MA
Other
Enumeration date
08/01/2011
Last updated
09/23/2019
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