Individual
DR. ALYSSA BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
19 COLLEGE RD, SUITE D, FAIRBANKS, AK 99701
(907) 458-5670
Mailing address
19 COLLEGE RD, SUITE D, FAIRBANKS, AK 99701
(907) 458-5670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
212426
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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