Individual
MR. ERIC BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-3951
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3129
ME
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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