MS. Cerise Marie Boucher, ATC

NPI #1003942038 in Castleton, Vermont

Provider Information

NPI Number
1003942038
Entity Type
Individual
Name
MS. Cerise Marie Boucher, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Feb 26, 2007
Last Updated
Jun 16, 2021

Practice Location

Address
CASTLETON UNIVERSITY
Address 2
190 UNIVERSITY DRIVE
State
Vermont
ZIP Code
05735-0573
Phone
(802) 468-1435

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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