Mrs. Jennifer Marie Boucher
Occupational Therapist - Physical Rehabilitation
7785 N State St
Lowville
, New York 13367-1229
Mrs. Jennifer Marie Boucher
Occupational Therapist - Physical Rehabilitation
7785 N State St
Lowville
, New York 13367-1229
(315) 376-5061
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Marie Boucher
- 7785 N State St
- Lowville, NY
- Zip : 13367-1229
- Fax : (315) 376-5061
- Phone : (315) 376-5225
Second Address
- Mrs. Jennifer Marie Boucher
- 7785 N State St
- Lowville, NY
- Zip : 13367-1229
- Fax : (315) 376-5061
- Phone : (315) 376-5225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 014928-1 | NY |
National Provider Identifier
| NPI | 1073766481 |
|---|---|
| Provider Name | Mrs. Jennifer Marie Boucher |
| First Address | Lowville, NY 13367-1229 |
| Second Address | Lowville, NY 13367-1229 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2008 |
| Last Update Date | 04/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.