Individual
MRS. KAYLA ANN BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-4808
Mailing address
1161 S VALLEY VIEW BLVD, LAS VEGAS, NV 89102-1854
(702) 486-9200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13-0294
NV
Other
Enumeration date
08/14/2012
Last updated
08/28/2019
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