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Mr. DANIEL BOULANGER ATC, CES, PES

Individual Provider (NPI-1) Active

Specialist/Technologist, Athletic Trainer

Provider Information

NPI Number
1053824805
Provider Type
Individual Provider (NPI-1)
Credentials
ATC, CES, PES
Status
Active

Contact & Location

Address
1762 LOUISQUISSET PIKE, LINCOLN, RI, 02865
Phone
(401) 333-7000

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program
Specialist/Technologist, Athletic Trainer Primary

All Addresses

LOCATION

1762 LOUISQUISSET PIKE

LINCOLN, RI, 02865

(401) 333-7000

MAILING

37 GARDEN DR

RIVERSIDE, RI, 029153023

(401) 473-5733