Individual
MRS. ANN BOUCHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
19105 SANDY LN, COVINGTON, LA 70433-8715
(985) 893-0778
(985) 893-0301
Mailing address
580 MARKIE DR, MANDEVILLE, LA 70471-6736
(985) 893-0778
(985) 893-0301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10503
LA
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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