NPI 1053824805

Daniel Boulanger, ATCCESPES

Practitioner Athletic Trainer Lincoln, RI

Practice location

Address: 1762 Louisquisset Pike, Lincoln, RI 02865
Phone: (401) 333-7000
Mailing address: 37 Garden Dr, Riverside, RI 02915-3023

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Rhode Island →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Rhode Island →

Registry record

NPI: 1053824805
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2017
Record last updated: 5 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.