Individual
ANN MARIE BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6165 E BRISTOL RD, BURTON, MI 48519-1738
(517) 983-2253
(810) 695-0888
Mailing address
6165 E BRISTOL RD, BURTON, MI 48519-1738
(517) 983-2253
(810) 695-0888
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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