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1215643762
ALICE BOUCHER
WATERBURY CENTER, VT
NPI
1215643762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VT 040.0102990)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
ALICE BOUCHER PT, DPT
1945 SHAW MANSION RD
WATERBURY CENTER, VT 05677-8256
Phone number: 860-921-8394
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Mailing Address
ALICE BOUCHER PT, DPT
1945 SHAW MANSION RD
WATERBURY CENTER, VT 05677-8256
Phone number: 860-921-8394
Copy
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