Doctor Name: | MS. BONNIE G DUBAY-BRENNAN |
NPI Number: | 1699925339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT NCTMB |
License Number: | 1241 |
Business Practice Address: | 12 Bridge St Bucksport, ME - 044164087 |
Business Phone Number: | 2074696589 |
Business Fax Number: | |
Mailing Address: | Po Box 1002, 12 Bridge St. BUCKSPORT |
State: | ME |
Postal Code: | 044161002 |
Phone Number: | 2074696589 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1241 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |