John R Boucher, P.T.

NPI #1457371718 in Lebanon, Tennessee

Provider Information

NPI Number
1457371718
Entity Type
Individual
Name
John R Boucher, P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Jul 20, 2006
Last Updated
Oct 1, 2013

Practice Location

Address
1430 W BADDOUR PKWY
Address 2
SUITE C
ZIP Code
37087-2656
Phone
(615) 453-1422

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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