Individual
CHRISTINE L BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
836 MAIN ST, WESTBROOK, ME 04092-2861
(207) 632-7044
Mailing address
PO BOX 1672, GRAY, ME 04039-1672
(207) 632-7044
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT1175
ME
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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