Individual
KATHARINE BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
933 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2509
(413) 301-6019
Mailing address
933 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2509
(413) 301-6019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19655
MA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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