Carol Boucek

NPI #1053488759 in Springfield, Massachusetts

Provider Information

NPI Number: 1053488759
Entity Type: Individual
Name: Carol Boucek
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 136 WILLIAM ST
City: Springfield
State: Massachusetts
ZIP Code: 01105-2349
Phone: (413) 788-2171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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