Individual provider · Type 1 NPI
Edward J. Boudreau, PT, OCS
Orthopedic Physical Therapist · Lexington, MA
Practice location
16 Hayden Ave
Lexington, MA 02421-7929
Mailing address
131 Collins St
Danvers, MA 01923-3537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 33177 (CA) |
| Orthopedic Physical Therapist Primary | 2251X0800X | 15110 (MA) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
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About NPI 1043395007
Edward J. Boudreau, PT, OCS's National Provider Identifier is 1043395007, issued on Oct 26, 2006. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Lexington, MA. The record was last updated on Oct 21, 2019.