Individual
MRS. RADIATOU BOUCAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1525 N ROLLING RD, CATONSVILLE, MD 21228-1100
(410) 402-1200
Mailing address
37 OJIBWAY RD, RANDALLSTOWN, MD 21133-1720
(410) 900-8223
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
08545
MD
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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