Mr. Edward J Boudreau
Physical Therapist - Orthopedic
16 Hayden Ave
Lexington
, Massachusetts 02421-7929
Mr. Edward J Boudreau
Physical Therapist - Orthopedic
16 Hayden Ave
Lexington
, Massachusetts 02421-7929
(978) 766-0880
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Edward J Boudreau
- 131 Collins St
- Danvers, MA
- Zip : 01923-3537
- Phone : (978) 766-0880
Second Address
- Mr. Edward J Boudreau
- 16 Hayden Ave
- Lexington, MA
- Zip : 02421-7929
- Phone : (781) 372-7000
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Is Mr. Edward J Boudreau a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 15110 | MA |
| N | 2251X0800X | Physical Therapist - Orthopedic | 33177 | CA |
National Provider Identifier
| NPI | 1043395007 |
|---|---|
| Provider Name | Mr. Edward J Boudreau |
| First Address | Danvers, MA 01923-3537 |
| Second Address | Lexington, MA 02421-7929 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 21/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.