Cheryl Lynn Boudreau PT

NPI 1114109873 - Physical Therapist - 225100000X

NPI Details
NPI 1114109873
Gender Female
Enumeration Date 12/04/2007
Last Updated 12/04/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4000 MYSTIC VALLEY PKWY
MEDFORD MA, 02155-6918, US
Phone (781) 396-0041
Fax (781) 396-0085
Business Location
63 S MAIN ST
RANDOLPH MA, 02368-4820, US
Phone (781) 961-9200
Fax (781) 961-6599
Toxanomy
Taxonomy Code 225100000X
License State Massachusetts
License Number 16569
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According to our database, Cheryl Lynn Boudreau PT NPI is 1114109873, taxonomy code is 225100000X and license number is 16569, license state is located at Massachusetts. Cheryl Lynn Boudreau PT physically located at 4000 Mystic Valley Pkwy, Medford MA, 02155-6918. NPI Number Cheryl Lynn Boudreau PT has the Individual type.

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1114109873 NPI number is provided on an as is basis without warranty of any kind. 1114109873 is maintained by the National Plan & Provider Enumeration System. The contents of Cheryl Lynn Boudreau PT are for informational purposes only.