Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER BROUILLARD, DPT
Active Sole ProprietorPETER BROUILLARD, DPT is a Physical Therapy Assistant healthcare provider located in SHIRLEY, Massachusetts. NPI 1639851017 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHIRLEY, MA
Registration Details
- NPI Number
- 1639851017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2023 (3.0240178812213 yrs)
- Last Updated
- Mar 5, 2025
- License
-
PTL23118 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 SHAKER RD STE C200SHIRLEY, MA, 014642525Browse MA providers · Browse ZIP 01464
- Phone
- 9786159121
- Fax
- 9782452338
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SHIRLEY, MA
| Name | Credential | NPI |
|---|---|---|
| CATHERINE MARIE WARREN | DPT | 1427237064 |
| ROSE-ANN BUCHMAN | PT | 1134441157 |
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.