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Individual

BARBARA BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
843 BOLTON RD, U1249, STORRS MANSFIELD, CT 06269-1249
(860) 486-8080
(860) 486-8081
Mailing address
843 BOLTON RD, U1249, STORRS MANSFIELD, CT 06269-1249
(860) 486-8080
(860) 486-8081

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002956
CT

Other

Enumeration date
07/29/2010
Last updated
07/29/2010
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