THAD BOUCHER

MCKEESPORT, PA
NPI1861970451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT026985)
Enumeration Date2018-08-06
Last Update Date2020-02-12
Business Address
THAD BOUCHER
625 WALNUT ST
MCKEESPORT, PA 15132-2806
Phone number: 412-673-5005
Mailing Address
THAD BOUCHER
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number: 727-475-5540