Individual
ANDRIA BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8537
Mailing address
23 LAKE ST, MIDDLETON, MA 01949-2012
(781) 504-6300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8862
MA
Other
Enumeration date
03/30/2007
Last updated
05/13/2014
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