JACKIE BOUCHARD

NEWINGTON, CT
NPI1851438485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225500000X Specialist/Technologist
(Licence: CT  001413)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
-- JACKIE BOUCHARD ST
181 PATRICIA GENOVA DRIVE EASTERN REHABILITATION NETWORK (5TH FLOOR)
NEWINGTON, CT 06111
Phone number: 860-664-5480
Mailing Address
-- JACKIE BOUCHARD ST
181 PATRICIA GENOVA DRIVE EASTERN REHABILITATION NETWORK (5TH FLOOR)
NEWINGTON, CT 06111
Phone number: 860-664-5480
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