Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDAN RAYMOND BOLDUC, PT, DPT, CSCS
Active Sole ProprietorBRENDAN RAYMOND BOLDUC, PT, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in MONTVALE, New Jersey. NPI 1811664899 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MONTVALE, NJ
Registration Details
- NPI Number
- 1811664899
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2021 (4.926034656391 yrs)
- Last Updated
- Aug 26, 2021
- License
-
40QA02024200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 S KINDERKAMACK RDMONTVALE, NJ, 076452112Browse NJ providers · Browse ZIP 07645
- Phone
- 2015734969
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MONTVALE, NJ
| Name | Credential | NPI |
|---|---|---|
| ROBERT L TUCKER | MSPT | 1245282755 |
| MRS. EVE DANA KOPPELMAN | P.T. | 1609959642 |
| MRS. BEATA LIGAS | P.T. | 1720140999 |
| BRENDA LEE KAPLAN | — | 1245352657 |
| MR. TIMOTHY NORUM | — | 1760694426 |
| MR. MICHAEL KRYAGIN | MS,PT | 1114118858 |
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.