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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD W BOUSSON, DPT

Active

RICHARD W BOUSSON, DPT is a Physical Therapy Assistant healthcare provider located in CHICAGO, Illinois. NPI 1275919136 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CHICAGO, IL

Registration Details

NPI Number
1275919136
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2015 (11.045094221655 yrs)
Last Updated
Nov 1, 2019
Licenses
5501017277 (MI)
070022124 (IL)

Practice Information

Address
6255 S ARCHER AVE
CHICAGO, IL, 606382609
Browse IL providers · Browse ZIP 60638
Phone
7732846735
Fax
7732846820
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in CHICAGO, IL

Name Credential NPI
DR. SHELDON LO DPT, MS, ATC 1487638920
DR. MOHAMED ATTIA IBRAHIM PT, DSC, MS, NCS 1639155807
KRISTEN J. DALY MPT 1831177005
MS. VONNA LEE KAROGHLANIAN P.T. 1740268986
MS. ANGELA WILSON PENNISI PT 1881673671
KYLE LEONARD PT 1295706190
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.