Doctor Name: | MR. BRENDON DANIEL LACHANCE |
NPI Number: | 1275535288 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT |
License Number: | 15139 |
Business Practice Address: | 8 Chelsea St East Boston, MA - 021281913 |
Business Phone Number: | 6175614777 |
Business Fax Number: | 6175614924 |
Mailing Address: | 247 Washington Ave, WINTHROP |
State: | MA |
Postal Code: | 021521313 |
Phone Number: | 6178461490 |
Fax Number: | 6175614924 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |