Individual
BRUCE ALAN LANGEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 BOSTON TURNPIKE, BOLTON, CT 06043
(860) 646-8758
(860) 646-0256
Mailing address
PO BOX 9518, BOLTON, CT 06043-9518
(860) 646-8758
(860) 646-0256
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
005532
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005532CT08
BCBS
CT
01
—
44901
ORTHONET
CT
Enumeration date
10/24/2006
Last updated
07/08/2007
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