Individual
BRIDGET M BOYLAN
Active
Individual
BRIDGET M BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, LAC
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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