Individual
TRISHA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 LIMERICK RD, ARUNDEL, ME 04046-8158
(207) 985-7861
(207) 985-6703
Mailing address
39 LIMERICK RD, ARUNDEL, ME 04046-8158
(207) 985-7861
(207) 985-6703
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0252201
ME
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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