Individual
MR. ROBERT ANTHONY BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-5080
Mailing address
309 VINNICUM RD, SWANSEA, MA 02777-3431
(508) 672-4554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
705
RI
225100000X
Physical Therapist
8002
MA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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