Individual provider · Type 1 NPI

Bret Daniel Boisclair

Physical Therapy Assistant · Fenton, MI

NPI number 1770419491 Active

Practice location

2505 N Long Lake Rd
Fenton, MI 48430-8840

Call (810) 471-0180 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502004370 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1770419491

Bret Daniel Boisclair's National Provider Identifier is 1770419491, issued on Jun 22, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fenton, MI. The record was last updated on Jun 22, 2026.