MR. Matthew Joseph Bouchard, D.P.T.

NPI #1174820518 in Bangor, Maine

Provider Information

NPI Number: 1174820518
Entity Type: Individual
Name: MR. Matthew Joseph Bouchard, D.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T.
Enumeration Date: Feb 21, 2011
Last Updated: Feb 21, 2011

Practice Location

Address: 404 STATE ST
Address 2: SUITE #610
City: Bangor
State: Maine
ZIP Code: 04401-6623
Phone: (207) 947-8381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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