Individual
MR. EDWARD J BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
16 HAYDEN AVE, LEXINGTON, MA 02421-7929
(781) 372-7000
Mailing address
131 COLLINS ST, DANVERS, MA 01923-3537
(978) 766-0880
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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