Kevin Robert Bouchard-hall PHYSICAL THERAPY

NPI 1710291356 - Physical Therapist - 225100000X

NPI Details
NPI 1710291356
Gender Male
Enumeration Date 08/05/2010
Last Updated 08/05/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
66 PARK STREET
SUITE 100
ELIZABETHTOWN NY, 12932-0000, US
Phone (518) 873-2408
Fax (518) 873-3205
Business Location
75 PARK ST
ELIZABETHTOWN NY, 12932, US
Phone (518) 873-2408
Fax (518) 873-3205
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number P75321
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According to our database, Kevin Robert Bouchard-hall PHYSICAL THERAPY NPI is 1710291356, taxonomy code is 225100000X and license number is P75321, license state is located at New York. Kevin Robert Bouchard-hall PHYSICAL THERAPY physically located at 66 Park Street, Elizabethtown NY, 12932-0000. NPI Number Kevin Robert Bouchard-hall PHYSICAL THERAPY has the Individual type.

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1710291356 NPI number is provided on an as is basis without warranty of any kind. 1710291356 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Robert Bouchard-hall PHYSICAL THERAPY are for informational purposes only.