Individual
ERIC S. BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
584 ROOSEVELT TRL UNIT 2, WINDHAM, ME 04062-4983
(207) 661-2828
Mailing address
584 ROOSEVELT TRL UNIT 2, WINDHAM, ME 04062-4983
(207) 661-2828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2451
ME
Other
Enumeration date
12/14/2006
Last updated
02/19/2021
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