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Individual

MENDY BOOCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1211 STATE LINE RD, NILES, MI 49120-4912
(574) 807-1451
Mailing address
70656 ROOSEVELT ST, NILES, MI 49120-7736
(574) 807-1451

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003335
MI

Other

Enumeration date
07/11/2018
Last updated
07/11/2018
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