Anthony Manning Boucher, MPT

NPI #1790847317 in Quinlan, Texas

Provider Information

NPI Number: 1790847317
Entity Type: Individual
Name: Anthony Manning Boucher, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Dec 14, 2006
Last Updated: Feb 21, 2008

Practice Location

Address: 8885 HWY 34 SOUTH
City: Quinlan
State: Texas
ZIP Code: 75474
Phone: (903) 356-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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