National Provider Identifier
Mary Jane Bouley, PT
Mary Jane Bouley, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Spencerport, NY and a listed phone number of (585) 349-2860.
Profile Overview
- NPI
- 1447220140
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 25, 2006
- Last Updated
- August 20, 2008
Practice Location
- 37 N Union Street
- Spencerport, NY 14559
Phone: (585) 349-2860
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1447220140
- Entity Type
- Individual
- Last Name
- Bouley
- First Name
- Mary Jane
- Credential
- PT
- Mailing Street Address
- 37 N Union Street
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559
- Mailing Country
- US
- Mailing Phone
- (585) 349-2860
- Mailing Fax
- (585) 349-2995
- Practice Street Address
- 37 N Union Street
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559
- Practice Country
- US
- Practice Phone
- (585) 349-2860
- Practice Fax
- (585) 349-2995
- Enumeration Date
- January 25, 2006
- Last Updated
- August 20, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- P010016481 (NY, Blue Choice), 103351FT (NY, Preferred Care), 7024316 (NY, Aetna), P011016481 (NY, Blue Cross Blue Shield)