Individual
MR. EDWARD J BOUDREAU
Active
Individual
MR. EDWARD J BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
15110
MA
2251X0800X
Orthopedic Physical Therapist
33177
CA
Other
Enumeration date
10/26/2006
Last updated
10/21/2019
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