Boudreau, Katie

Boudreau, Katie is an sole proprietor health care provider with primary practice located at 1601 Butterfield Trl , Kankakee IL 60901-2959. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Boudreau, Katie can be contacted via phone (815) 936-6500.

Contact Information

Primary practice address
1601 Butterfield Trl Kankakee IL 60901-2959
Phone: (815) 936-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.006489 Illinois

Profile Details

NPI number 1801217153
LBN Legal business name Boudreau, Katie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2014
Last updated Jan 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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