ERICK MATTHEW BOUCHER

COLUMBUS, OH
NPI1942412499
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT.002209)
Enumeration Date2007-05-05
Last Update Date2007-07-08
Business Address
-- ERICK MATTHEW BOUCHER ATC
99 E COOKE RD
COLUMBUS, OH 43214-3111
Phone number: 614-268-8671
Mailing Address
-- ERICK MATTHEW BOUCHER ATC
751 BENT OAK DR
BLACKLICK, OH 43004-8821
Phone number:
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