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Individual

COLLEEN BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
301 E. OAK STREET, SUITE D, KISSIMMEE, FL 34744-4554
(407) 847-9110
Mailing address
501 E OAK ST STE D, KISSIMMEE, FL 34744-4554
(407) 847-9110

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40135
FL

Other

Enumeration date
05/10/2006
Last updated
11/07/2025
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