Individual
MRS. MICHELE LEE BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
303 PARK ST, BELMONT, NC 28012-3367
(704) 829-9800
Mailing address
936 SPARROWS NEST LN, PINEVILLE, NC 28134-8846
(704) 341-4247
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8187
NC
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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