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Individual

MELISSA BOUTAGY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
385 CHURCH ST, GUILFORD, CT 06437-6003
(203) 453-2844
(203) 453-8772
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10516
CT

Other

Enumeration date
06/29/2015
Last updated
10/29/2019
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