| Doctor Name: | DENISE TETREAULT |
| NPI Number: | 1639419195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 9214 |
| Business Practice Address: | 300 Elmwood St North Attleboro, MA - 027601304 |
| Business Phone Number: | 5086952280 |
| Business Fax Number: | 5086952298 |
| Mailing Address: | 535 S Main St, RANDOLPH |
| State: | MA |
| Postal Code: | 023685261 |
| Phone Number: | 7819613370 |
| Fax Number: | 7817677531 |
| NPI Enumeration Date: | 02/21/2013 |
| NPI Last Update Date: | 02/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9214 |
| 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 |