Individual
FRANK BOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 788-8490
(814) 788-8091
Mailing address
763 JOHNSONBURG RD, PENN HIGHLANDS ELK, SAINT MARYS, PA 15857
(814) 788-8490
(814) 788-8091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010779L
PA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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