Mr. Jay Scott Cloutier
Physical Therapist - Sports
66 Mdg/sgo 90 Vandeberg Ave
Hanscom Afb
, Massachusetts 01731
Mr. Jay Scott Cloutier
Physical Therapist - Sports
66 Mdg/sgo 90 Vandeberg Ave
Hanscom Afb
, Massachusetts 01731
(781) 377-4702
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Mr. Jay Scott Cloutier
- 90 Vandenberg Dr
- Hanscom Afb, MA
- Zip : 01731-2104
- Phone : (781) 377-4702
Second Address
- Mr. Jay Scott Cloutier
- 66 Mdg/sgo 90 Vandeberg Ave
- Hanscom Afb, MA
- Zip : 01731
- Phone : (781) 377-4702
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 579 | ME |
National Provider Identifier
| NPI | 1245210715 |
|---|---|
| Provider Name | Mr. Jay Scott Cloutier |
| First Address | Hanscom Afb, MA 01731-2104 |
| Second Address | Hanscom Afb, MA 01731 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2006 |
| Last Update Date | 14/12/2007 |
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.