Brett Bousquet

NPI #1679957021 in Vail, Colorado

Provider Information

NPI Number: 1679957021
Entity Type: Individual
Name: Brett Bousquet
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 181 W MEADOW DR
Address 2: HOWARD HEAD SPORTS MEDICINE
City: Vail
State: Colorado
ZIP Code: 81657-5242
Phone: (970) 470-6653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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