Charleen Boucher, D.P.T.

NPI #1346783560 in Camarillo, California

Provider Information

NPI Number: 1346783560
Entity Type: Individual
Name: Charleen Boucher, D.P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: D.P.T.
Enumeration Date: Nov 19, 2016
Last Updated: Dec 2, 2016

Practice Location

Address: 2149 ROCKLYN ST
City: Camarillo
State: California
ZIP Code: 93010-3332
Phone: (760) 331-8526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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