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1861970451
THAD BOUCHER
MCKEESPORT, PA
NPI
1861970451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT026985)
Enumeration Date
2018-08-06
Last Update Date
2020-02-12
Business Address
THAD BOUCHER
625 WALNUT ST
MCKEESPORT, PA 15132-2806
Phone number: 412-673-5005
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Mailing Address
THAD BOUCHER
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number: 727-475-5540
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