Individual
PHILLIP A. BORDONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 PINGREE HILL RD, DERRY, NH 03038-5372
(603) 537-9767
Mailing address
27 PINGREE HILL RD, DERRY, NH 03038-5372
(603) 537-9767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
633M
NH
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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