Individual
CATHRYN J BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
(509) 328-7582
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
(509) 328-7582
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
CG60789442
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60789442
WASHINGTON STATE DEPT OF HEALTH
WA
Enumeration date
01/11/2018
Last updated
03/20/2018
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