Alice Boucher, PT, DPT

NPI #1215643762 in Waterbury Center, Vermont

Provider Information

NPI Number: 1215643762
Entity Type: Individual
Name: Alice Boucher, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jan 27, 2023
Last Updated: Jan 27, 2023

Practice Location

Address: 1945 SHAW MANSION RD
City: Waterbury Center
State: Vermont
ZIP Code: 05677-8256
Phone: (860) 921-8394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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