Individual
PETER G BOUDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14 JONES HOLLOW RD STE 7, MARLBOROUGH, CT 06447-1448
(860) 295-8188
(860) 986-7459
Mailing address
PO BOX 8, EAST HAMPTON, CT 06424-0008
(860) 267-8500
(860) 986-7459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005971
CT
Other
Enumeration date
04/19/2006
Last updated
07/24/2012
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