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Contact Information

BRAD BOULANGER, DPT
711 W CENTER ST
WEST BRIDGEWATER, MA02379
 Phone: 085-659-4499
 Fax: 508-510-4987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRAD BOULANGER · (Male)

NPI # 1609102714
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 10/23/2009
Last updated 06/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 18835
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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