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Organization

BOUCHARD PHYSICAL THERAPY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANE E CHAPMAN (ADMINISTRATOR)
(207) 622-9467
Entity
Organization

Contact information

Practice address
149 SILVER ST, WATERVILLE, ME 04901-5813
(207) 873-4638
(207) 873-1541
Mailing address
160 RIVERSIDE DR, AUGUSTA, ME 04330-4162
(207) 622-9467
(207) 623-2874

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123920000
ME
Enumeration date
10/17/2005
Last updated
02/26/2013
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