Individual
DAVID BOUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
20 BANTA PL, STE 111, HACKENSACK, NJ 07601-5606
(509) 560-9406
(201) 334-9815
Mailing address
PO BOX 1125, HACKENSACK, NJ 07602-1125
(509) 560-9406
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01501200
NJ
Other
Enumeration date
11/18/2013
Last updated
06/30/2020
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