KIMBERLEE MARIE BOUCHARD

OSWEGO, NY
NPI1831429000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  007357-1)
Enumeration Date2010-01-11
Last Update Date2010-01-11
Business Address
-- KIMBERLEE MARIE BOUCHARD
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
Mailing Address
-- KIMBERLEE MARIE BOUCHARD
3630 US ROUTE 11
PULASKI, NY 13142-2161
Phone number: 315-509-4232