Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS BOISSONEAULT, PT
ActivePhysical Therapy Assistant · BANGOR, ME
Registration Details
- NPI Number
- 1407143134
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2011 (14.826791630382 yrs)
- Last Updated
- Jun 9, 2015
- Licenses
-
PT26565 (FL)PT4197 (ME)
Practice Information
- Address
-
1365 BROADWAYBANGOR, ME, 044012401Browse ME providers · Browse ZIP 04401
- Phone
- 2079422233
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| MR. BERNARD CASTONGUAY JR. | PT | 1295739670 |
| MR. GARTH WARD DANIELSON | PT | 1285639534 |
| DANIELLE MARIE HAGGERTY | PT | 1811999527 |
| MS. CHRISTY LANE STOUT | P.T. | 1790776540 |
| MRS. AMY DIFRANCESCO | P.T. | 1427030915 |
| NICOLE C BROOKER | PT | 1356371355 |
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.