Individual
ALICE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1945 SHAW MANSION RD, WATERBURY CENTER, VT 05677-8256
(860) 921-8394
Mailing address
1945 SHAW MANSION RD, WATERBURY CENTER, VT 05677-8256
(860) 921-8394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0102990
VT
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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