IndividualActive
Edward Boudreau, PT, OCS
NPI 1043395007 · Orthopedic Physical Therapist · Lexington, MA
Provider details
- NPI number
- 1043395007
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, OCS
- Sex
- Male
- Sole proprietor
- No
- License
- 33177 (CA)
Mailing address
131 Collins St
Danvers, MA 01923-3537
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2019-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.