Donna Jean Boulay
Physical Therapist - Geriatrics
44 Maritime Dr
Mystic
, Connecticut 06355-1958
Donna Jean Boulay
Physical Therapist - Geriatrics
44 Maritime Dr
Mystic
, Connecticut 06355-1958
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Donna Jean Boulay
- 44 Maritime Dr
- Mystic, CT
- Zip : 06355-1958
- Phone :
Second Address
- Donna Jean Boulay
- 44 Maritime Dr
- Mystic, CT
- Zip : 06355-1958
- Phone : (401) 829-6104
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics |
National Provider Identifier
| NPI | 1285306233 |
|---|---|
| Provider Name | Donna Jean Boulay |
| First Address | Mystic, CT 06355-1958 |
| Second Address | Mystic, CT 06355-1958 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2021 |
| Last Update Date | 29/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.