Individual
DR. BRENDA KENT BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PHD,
Contact information
Practice address
1324 COMMON ST STE 307, NEW BRAUNFELS, TX 78130-3566
(830) 625-7310
(830) 625-3228
Mailing address
1324 COMMON ST STE 307, NEW BRAUNFELS, TX 78130-3566
(830) 625-7310
(830) 625-3228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1032365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T6192
BC/BS
TX
Enumeration date
08/30/2006
Last updated
05/27/2008
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