DAVID J BOUCHER

E PROVIDENCE, RI
NPI1417901190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  01754)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
-- DAVID J BOUCHER PT
1001 WATERMAN AVE
E PROVIDENCE, RI 02914-1314
Phone number: 401-434-1773
Mailing Address
-- DAVID J BOUCHER PT
31 OLD ROUTE 7 ATTN: CREDENTIALING DEPT
BROOKFIELD, CT 06804-1714
Phone number: 203-740-0020
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