Peter G Boudo Jr, PT | |
14 Jones Hollow Rd Ste 7, Marlborough, CT 06447-1448 | |
(860) 295-8188 | |
(860) 986-7459 |
Full Name | Peter G Boudo Jr |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 14 Jones Hollow Rd Ste 7, Marlborough, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255396743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 005971 (Connecticut) | Primary |
Provider Name | Ivyrehab Connecticut Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223 |
Mailing Address | Practice Location Address |
---|---|
Peter G Boudo Jr, PT Po Box 8, East Hampton, CT 06424-0008 Ph: (860) 267-8500 | Peter G Boudo Jr, PT 14 Jones Hollow Rd Ste 7, Marlborough, CT 06447-1448 Ph: (860) 295-8188 |
Stephen Edward Griffin, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 14 Jones Hollow Rd Ste 7, Marlborough, CT 06447 Phone: 860-295-8188 Fax: 860-295-8976 | |
Raymond A Shaw Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14 Jones Hollow Rd Ste 7, Marlborough, CT 06447 Phone: 860-295-8188 Fax: 860-295-8976 | |
William R Foster Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14 Jones Hollow Rd Ste 7, Marlborough, CT 06447 Phone: 860-295-8188 Fax: 860-295-8976 | |
Dr. Vinsee Tang, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Stage Harbor Rd, Marlborough, CT 06447 Phone: 860-295-9531 | |
Joseph Michael Calvo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Jones Hollow Rd Ste 7, Marlborough, CT 06447 Phone: 860-295-8188 Fax: 860-295-8976 | |
Rachel Erin Presnell-reck, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 14 Jones Hollow Rd Ste 7, Marlborough, CT 06447 Phone: 860-295-8188 Fax: 860-295-8976 |