Individual
VICTORIA L BOUCKHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
14346 METCALF AVE, OVERLAND PARK, KS 66223-2987
(913) 681-0146
(913) 681-0140
Mailing address
14346 METCALF AVE, OVERLAND PARK, KS 66223-2987
(913) 681-0146
(913) 681-0140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1101611
KS
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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