LISA JO BOUDRIEAU (PT) – Physical Therapist, NPI 1720095995
Physical Therapist
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Profile Insights
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Provider Addresses for LISA JO BOUDRIEAU (PT)
12000, West 110th Street, Overland Park, Johnson County, Kansas, 66210, United States
SUITE 400
OVERLAND PARK, KS 662103938
Phone: (816) 679-7056
Fax: (816) 523-0306
Type: Location
4629, West 72nd Terrace, Prairie Village South, Prairie Village, Johnson County, Kansas, 66208, United States
PRAIRIE VILLAGE, KS 662082827
Phone: (913) 831-6242
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66210)
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