Individual
BETHANY MARIE BOULGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 MAIN ST, SUITE 2, BENNINGTON, VT 05201-2875
(802) 447-2900
Mailing address
609 HOUGHTON LN, BENNINGTON, VT 05201-8092
(413) 663-4585
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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