JENNIFER BOUCHARD

GAINESVILLE, VA
NPI1427542588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306603592)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
JENNIFER BOUCHARD LPTA
13650 HEATHCOTE BLVD
GAINESVILLE, VA 20155-3344
Phone number: 571-284-7244
Mailing Address
JENNIFER BOUCHARD LPTA
775 GATEWAY DR SE APT 922
LEESBURG, VA 20175-4042
Phone number: 703-909-7707