Provider Demographics
NPI:1720817794
Name:WHOLE HEALTH SOLUTIONS PLLC
Entity type:Organization
Organization Name:WHOLE HEALTH SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:978-615-9521
Mailing Address - Street 1:2 SHAKER RD STE C200
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01464-2525
Mailing Address - Country:US
Mailing Address - Phone:978-615-9121
Mailing Address - Fax:
Practice Address - Street 1:2 SHAKER RD STE C200
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:MA
Practice Address - Zip Code:01464-2525
Practice Address - Country:US
Practice Address - Phone:978-615-9121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty