Individual
BRIAN J BOCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2111 EXCHANGE ST APT 1, ASTORIA, OR 97103-3329
(606) 219-6999
Mailing address
4 MCCAIN RD APT 1, ASTORIA, OR 97103-3150
(606) 219-6999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8911
OR
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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