BRIAN M BOUCK

APACHE JUNCTION, AZ
NPI1285715458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  6233)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Mr. BRIAN M BOUCK MPT
1075 S IDAHO #210
APACHE JUNCTION, AZ 85219
Phone number: 480-983-0877
Mailing Address
Mr. BRIAN M BOUCK MPT
3941 E BASELINE #101
GILBERT, AZ 85234
Phone number: 480-503-2010