Individual
CAROLYN HUNT BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
639 SHERMAN ST, DOWNERS GROVE, IL 60515-3060
(630) 747-8763
Mailing address
639 SHERMAN ST, DOWNERS GROVE, IL 60515-3060
(630) 747-8763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-011929
IL
Other
Enumeration date
06/25/2007
Last updated
07/07/2023
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