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Contact Information

EDWARD J BOUDREAU, PT, OCS
16 HAYDEN AVE
LEXINGTON, MA02421-7929
 Phone: 781-372-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EDWARD J BOUDREAU · (Male)

NPI # 1043395007
Status Active
Credentials PT, OCS
Entity Individual
Enumeration date 10/26/2006
Last updated 10/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 33177
  • MA License # 15110
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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