Carol Boucek Valid NPI

Individual provider · Physical Therapist · Springfield, MA

NPI

1053488759

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

11179 (MA)

Sex

Female

Sole proprietor

No

Enumerated

2006-11-29

Last updated

2007-07-08