Individual
JANET MARIE BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 TREMONT ST STE 2, CONCORD, NH 03301-4465
(603) 856-4260
Mailing address
116 HORSE HILL RD, CONCORD, NH 03303-3907
(603) 856-4260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5195M
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5195M
STATE OF NH OFFICE OF PROFESSIONAL LICENSURE
NH
Enumeration date
03/28/2022
Last updated
03/28/2022
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