Doctor Name: | JOSEE BOULANGER |
NPI Number: | 1649411315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 030328 |
Business Practice Address: | 295 New York Rd Plattsburgh, NY - 129034425 |
Business Phone Number: | 5185628200 |
Business Fax Number: | 5185627188 |
Mailing Address: | Po Box 2868, PLATTSBURGH |
State: | NY |
Postal Code: | 129010259 |
Phone Number: | 5185628200 |
Fax Number: | 5185627188 |
NPI Enumeration Date: | 03/10/2009 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 030328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |