Individual
MS. COLLEEN ANN BURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45 DEAN POND RD, BRIMFIELD, MA 01010-2012
(413) 404-6535
Mailing address
45 DEAN POND RD, BRIMFIELD, MA 01010-2012
(413) 404-6535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1158
MA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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