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SARAH E. BOULDEN P.T.A.

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1790944262

Individual Registrant:
 SARAH E. BOULDEN P.T.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
818 HIGH ST SUITE 1 CHESTERTOWN, MD 21620-1152 US
Tel: 410-778-6565  Fax: 410-778-6536

Contact information for business:
818 HIGH ST SUITE 1 CHESTERTOWN, MD 21620-1152 US
Tel: 410-778-6565  Fax: 410-778-6536

Registration Information:
NPI: 1790944262
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
MDA2941

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE PART A216582MD01




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