Individual
DANIELLE AUCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15886
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044651
BOSTON MEDICAL CENTER HEALTHNET
MA
05
—
0716502
—
MA
01
—
496868
TUFTS
MA
01
—
Y68689
BLUECROSS BLUESHIELD
MA
Enumeration date
07/24/2006
Last updated
05/22/2008
Update your record
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