| Doctor Name: | BRUCE ALAN LANGEVIN |
| NPI Number: | 1992888531 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 005532 |
| Business Practice Address: | 921 Boston Turnpike Bolton, CT - 06043 |
| Business Phone Number: | 8606468758 |
| Business Fax Number: | 8606460256 |
| Mailing Address: | Po Box 9518, BOLTON |
| State: | CT |
| Postal Code: | 060439518 |
| Phone Number: | 8606468758 |
| Fax Number: | 8606460256 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 005532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |