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Contact Information

RYAN J BOUDREAUX, PT, DPT
1725 W HARRISON ST STE 440
CHICAGO, IL60612-3836
 Phone: 312-563-2454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RYAN J BOUDREAUX · (Male)

NPI # 1225437866
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 08/20/2014
Last updated 03/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # PT011641
  • IL License # 070021877
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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