Individual
JENNA BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
324 FRENCH ST, WATERTOWN, CT 06795-2929
(203) 982-0406
Mailing address
489 WOLCOTT ST APT 51, BRISTOL, CT 06010-6473
(203) 982-0406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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