Organization
BOULET REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN BOULET P.T. (PHYSICAL THERAPIST/OWNER)
(337) 264-9856
Entity
Organization
Contact information
Practice address
119 REPRESENTATIVE ROW, LAFAYETTE, LA 70508-3833
(337) 264-9856
(337) 261-5042
Mailing address
119 REPRESENTATIVE ROW, LAFAYETTE, LA 70508-3833
(337) 264-9856
(337) 261-5042
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0678
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555321
—
LA
Enumeration date
07/28/2005
Last updated
10/30/2007
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