Individual
VICTORIA BARRETT BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
540 COUNTRY VIEW DR, WARWICK, RI 02886-4215
(401) 374-7753
Mailing address
540 COUNTRY VIEW DR, WARWICK, RI 02886-4215
(401) 374-7753
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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