Individual
SUSAN LEIGH BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
60 LAWRENCE ST, HAVERHILL, MA 01830-4034
(978) 697-4796
Mailing address
60 LAWRENCE ST, HAVERHILL, MA 01830-4034
(978) 697-4796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2769
MA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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