Organization
CAROLYN BOUCHER PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN BOUCHER (PHYSICAL THERAPIST)
(630) 747-8763
Entity
Organization
Contact information
Practice address
639 SHERMAN ST, DOWNERS GROVE, IL 60515-3060
(630) 747-8763
Mailing address
639 SHERMAN ST, DOWNERS GROVE, IL 60515-3060
(630) 747-8763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/19/2023
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