Briana Boulerice, DPT | |
1211 W Main St, Waterbury, CT 06708-3106 | |
(203) 753-6043 | |
Not Available |
Full Name | Briana Boulerice |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1211 W Main St, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184352007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13675 (Connecticut) | Primary |
Provider Name | Anb-ptsma Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128 |
Mailing Address | Practice Location Address |
---|---|
Briana Boulerice, DPT 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4595 | Briana Boulerice, DPT 1211 W Main St, Waterbury, CT 06708-3106 Ph: (203) 753-6043 |
Mrs. Therese Kepler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Alyson Paliwoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Sharon Rd, Waterbury, CT 06705 Phone: 203-756-2334 | |
Miss Trisha Harris, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Mr. Nathan R Daigle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Kelly Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 | |
Ms. Hilda S Ianigro-blinn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 60 Westwood Ave, Suite 300, Waterbury, CT 06708 Phone: 203-597-1609 Fax: 203-597-1581 | |
Jennifer Ruiz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389 |