Ladouceur, Andrea L

Ladouceur, Andrea L is an individual health care provider with primary practice located at 5255 Overland Rd , Boise ID 83705-2637. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ladouceur, Andrea L can be contacted via phone (208) 338-9486.

Contact Information

Primary practice address
5255 Overland Rd Boise ID 83705-2637
Phone: (208) 338-9486
Fax: (208) 338-9586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1984 Idaho

Profile Details

NPI number 1275506768
LBN Legal business name Ladouceur, Andrea L
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275506768 NPPES
Idaho Other TD389 BLUE CROSS
Idaho Other 000010153394 BLUE CROSS

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