Individual
SHYLA BOUTILIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1678 ASYLUM AVE, WEST HARTFORD, CT 06117-2764
(860) 231-5424
Mailing address
210 PINE ST APT 212, MANCHESTER, CT 06040-8408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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