Individual
BIANCA BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 COMMONS DR, UNIT 6, LITCHFIELD, CT 06759
(203) 417-5864
Mailing address
43 MAPLE VIEW TRL, LITCHFIELD, CT 06759-2125
(203) 417-5864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11191
CT
225100000X
Physical Therapist
293176
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190328
—
CT
Enumeration date
11/08/2016
Last updated
07/09/2025
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