MARY CUNNINGHAM BOURGEOIS NPI 1508090259

NPI Information

NPI: 1508090259
Provider Name: MARY CUNNINGHAM BOURGEOIS
Classification: Physical Therapist - 2251C2600X
Entity Type: Individual

Specialization: Cardiopulmonary

Address:
15 PARKMAN ST
WACC 134
BOSTON, MA
ZIP 02114
Phone: (617) 643-7011
Get Directions

Mary Cunningham Bourgeois is a cardiopulmonary physical therapist in Boston, MA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy and physiology medicine, rehabilitation, critical care, and emergency and trauma. Mary Cunningham Bourgeois NPI is 1508090259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 PARKMAN ST
WACC 134
BOSTON, MA
ZIP 02114-117
Phone: (617) 643-7011

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251C2600X	Physical Therapist	Cardiopulmonary	3163	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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