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DONNA JEAN BOULAY

Geriatrics >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1285306233

Individual Registrant:
 DONNA JEAN BOULAY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
44 MARITIME DR  MYSTIC, CT 06355-1958 US
Tel: 401-829-6104  Fax: --

Contact information for business:
44 MARITIME DR  MYSTIC, CT 06355-1958 US
Tel: --  Fax: --

Registration Information:
NPI: 1285306233
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Geriatrics

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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