Individual
MALLORY LEANNE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 ELMHURST BLVD, SALINA, KS 67401-7402
(785) 825-5471
Mailing address
2718 DEBORAH DR, SALINA, KS 67401-0800
(913) 608-2962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03324
KS
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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