Individual
MS. CERISE MARIE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
CASTLETON UNIVERSITY, 190 UNIVERSITY DRIVE, CASTLETON, VT 05735-0573
(802) 468-1435
(802) 468-2189
Mailing address
1668 SOUTH ST, CASTLETON, VT 05735-9254
(802) 671-8052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1040000061
VT
Other
Enumeration date
02/26/2007
Last updated
06/16/2021
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