Organization
LYNN BOUDREAU PT II LLC
Active
Other names
Boudreau Physical Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JILL BOND (ADMINISTRATOR)
(603) 352-9990
Entity
Organization
Contact information
Practice address
321 BAKER ST, KEENE, NH 03431-4345
(603) 352-9990
(603) 352-1368
Mailing address
321 BAKER ST, KEENE, NH 03431-4345
(603) 352-9990
(603) 352-1368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50Y127100NH01
ANTHEM GROUP #
NH
Enumeration date
11/01/2006
Last updated
08/22/2020
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