NPI 1518777648
Brian J Boclair, PTA
Practice location
- Address
- 2111 Exchange St APT 1, Astoria, OR 97103-3329
- Phone
- (606) 219-6999
- Mailing address
- 4 McCain Rd APT 1, Astoria, OR 97103-3150
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1518777648
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jan 2025
- Record last updated
- 10 Jan 2025
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.