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Individual

BRIDGET M BOYLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, LAC

Contact information

Practice address
517 E MAGNOLIA ST, BELLINGHAM, WA 98225-4529
(503) 610-0834
(888) 746-2736
Mailing address
PO BOX 30756, BELLINGHAM, WA 98228-2756
(206) 772-5315
(206) 774-8751

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC2691
WA
225100000X
Physical Therapist
Primary
5456
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0124051
LABOR AND INDUSTRIES
WA
01
0152BO
REGENCE
WA
01
2370BO
REGENCE
WA
01
256BO
REGENCE
WA
01
5250BO
REGENCE
WA
01
6275BO
REGENCE
WA
01
6515BO
REGENCE
WA
05
7095565
WA
Enumeration date
10/10/2006
Last updated
03/25/2021
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