Bourdeau, Brian Joseph

Bourdeau, Brian Joseph is an individual health care provider with primary practice located at 3651 Cortez Rd W Ste 100, Bradenton FL 34210-3167. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bourdeau, Brian Joseph can be contacted via phone (941) 739-7828.

Contact Information

Primary practice address
3651 Cortez Rd W Ste 100 Bradenton FL 34210-3167
Phone: (941) 739-7828
Fax: (941) 739-7838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT21211 Florida

Profile Details

NPI number 1336138288
LBN Legal business name Bourdeau, Brian Joseph
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336138288 NPPES
Florida Other 2288818 AETNA PROVIDER
Florida Other Y909J AETNA PROVIDER

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