SearchConnecticut2255A2300X

Amanda Boulware, ATC

NPI 1700289899 · on the registry since 2014

Practice

Address
124 Conestoga St
Windsor, CT 06095
Phone
(786) 431-8888

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut