Individual
MS. PATRICIA BOULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
119 REPRESENTATIVE ROW, LAFAYETTE, LA 70508-3833
(337) 264-9856
(337) 261-5042
Mailing address
300 STEINER RD, LAFAYETTE, LA 70508-6017
(337) 264-9856
(337) 261-5042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0678
LA
Other
Enumeration date
01/15/2007
Last updated
12/19/2007
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