Mallory Leanne Boucher, OTR/L

NPI #1821589920 in Salina, Kansas

Provider Information

NPI Number: 1821589920
Entity Type: Individual
Name: Mallory Leanne Boucher, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: May 23, 2018
Last Updated: May 23, 2018

Practice Location

Address: 900 ELMHURST BLVD
City: Salina
State: Kansas
ZIP Code: 67401-7402
Phone: (785) 825-5471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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