Individual
MRS. LAURA CAROL BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
453 W 10TH AVE, COLUMBUS, OH 43210-2205
(614) 203-3178
Mailing address
4570 ACKERLY FARM RD, NEW ALBANY, OH 43054-9608
(614) 203-3178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002208
OH
Other
Enumeration date
05/08/2007
Last updated
10/01/2025
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