Carol Boucek

NPI 1053488759 - Physical Therapist - 225100000X

NPI Details
NPI 1053488759
Gender Female
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
136 WILLIAM ST
SPRINGFIELD MA, 01105-2349, US
Phone (413) 788-2171
Fax
Business Location
5 SPAULDING RD
CHELMSFORD MA, 01824-1021, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 11179
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According to our database, Carol Boucek NPI is 1053488759, taxonomy code is 225100000X and license number is 11179, license state is located at Massachusetts. Carol Boucek physically located at 136 William St, Springfield MA, 01105-2349. NPI Number Carol Boucek has the Individual type.

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1053488759 NPI number is provided on an as is basis without warranty of any kind. 1053488759 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Boucek are for informational purposes only.