Individual
ANN MARIE BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
24871 S ELLSWORTH RD STE 110, QUEEN CREEK, AZ 85142-1575
(480) 769-9753
(480) 769-9754
Mailing address
111 TUMWATER BLVD SE STE 113, TUMWATER, WA 98501-6422
(360) 528-3300
(360) 528-8162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033048
NY
225100000X
Physical Therapist
Primary
9803
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736900
—
AZ
Enumeration date
08/23/2010
Last updated
05/07/2025
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