Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bret Daniel Boisclair

Individual provider Physical Therapy Assistant · NPI 1770419491

Bret Daniel Boisclair is a Physical Therapy Assistant in Fenton, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026
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Practice location Address checks out

2505 N Long Lake Rd
Fenton, MI 48430-8840
Phone: (810) 471-0180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502004370 (MI)

Record details

NPI number1770419491
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 22, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 21, 2026

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