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Individual

DANIELLE AUCLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT, DPT

Contact information

Practice address
110 LIBERTY ST, SUITE 1300, BROCKTON, MA 02301-5521
(508) 580-0144
(508) 580-0449
Mailing address
322 E CENTER ST, WEST BRIDGEWATER, MA 02379-1824
(508) 559-0993
(508) 559-5072

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
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