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Individual

MEGAN BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
122 BOWDOIN ST APT 107, BOSTON, MA 02108-2709
(413) 519-3494
Mailing address
122 BOWDOIN ST APT 107, BOSTON, MA 02108-2709
(413) 519-3494

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9171
MA

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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