Individual
MISS ASHLEY MARCELLE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30 COLBY CT, BEDFORD, NH 03110-6426
(603) 470-3030
Mailing address
122 LIBERTY HILL RD, PO BOX 616, HENNIKER, NH 03242-3045
(603) 470-3030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1020
NH
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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