Peter G Boudo Jr., PT
Physical Therapist in Marlborough, Connecticut
1255396743- Practice location
- 14 Jones Hollow RD Ste 7, Marlborough, CT 06447-1448
- Phone
- 860-295-8188
- Fax
- 860-986-7459
- Last updated
- July 24, 2012
Peter G Boudo is a Physical Therapist based in Marlborough, CT. Peter G Boudo practices in Marlborough, CT and has the professional credentials of PT. The NPI Number for Peter G Boudo is 1255396743 and holds a License No. 005971 (CT). The current practice location address for Peter G Boudo is 14 Jones Hollow RD Ste 7, Marlborough, CT 06447-1448 and can be reached out via phone at 860-295-8188 and via fax at 860-986-7459.
Provider Profile Details
- NPI Number
- 1255396743
- Provider Name
- Peter G Boudo
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14 Jones Hollow RD Ste 7, Marlborough, CT 06447-1448
- Phone Number
- 860-295-8188
- Fax Number
- 860-986-7459
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 19, 2006
- Last Update Date
- July 24, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Jones Hollow RD Ste 7
Marlborough, CT 06447-1448 - City
- Marlborough
- State
- Connecticut
- Zip
- 06447-1448
- Phone Number
- 860-295-8188
- Fax Number
- 860-986-7459
Provider Business Mailing Address Details
- Address
- Po Box 8
East Hampton, CT 06424-0008 - City
- East Hampton
- State
- CT
- Zip
- 06424-0008
- Phone Number
- 860-267-8500
- Fax Number
- 860-986-7459
License Information
- License Number
- 005971
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Peter G Boudo Jr., PT?
The NPI number of Peter G Boudo Jr., PT is 1255396743. It was assigned on April 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Peter G Boudo Jr., PT?
Peter G Boudo Jr., PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 005971.
Where does Peter G Boudo Jr., PT practice?
The practice location is 14 Jones Hollow RD Ste 7, Marlborough, CT 06447-1448. The office can be reached at 860-295-8188 (phone) or 860-986-7459 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255396743 directly on the NPPES registry website.