Most Relevant Information
Provider Data
| NPI Number: | 1003824707 |
| Provider Name: | RICHARD B BOULLI PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 006526 |
Most Important Dates
| Enumeration Date: | 08/04/2006 |
| Last Updated: | 06/13/2013 |
Provider Practice Location
245 ALVORD PARK ROAD
SUITE 2
TORRINGTON
CT
067903493
Practice Location Phone/Fax
| Phone: | 9604969851 |
| Fax: | 8604824047 |
Provider Mailing Location
245 ALVORD PARK ROAD
SUITE 2
TORRINGTON
CT
067903493
Provider Mailing Phone/Fax
| Phone: | 9604969851 |
| Fax: | 8604824047 |