MR. Daniel Boulanger, ATC, CES, PES
NPI #1053824805 in Lincoln, Rhode Island
Provider Information
- NPI Number
- 1053824805
- Entity Type
- Individual
- Name
- MR. Daniel Boulanger, ATC, CES, PES
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, CES, PES
- Enumeration Date
- Nov 14, 2017
- Last Updated
- Jul 5, 2018
Practice Location
- Address
- 1762 LOUISQUISSET PIKE
- City
- Lincoln
- State
- Rhode Island
- ZIP Code
- 02865
- Phone
- (401) 333-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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