Individual
MELISSA LYNN BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 688-6443
Mailing address
8 THOMPSON AVE, HOOKSETT, NH 03106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11013
CT
225100000X
Physical Therapist
4154
NH
Other
Enumeration date
10/04/2017
Last updated
03/17/2018
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