Individual provider · Type 1 NPI

Elisabeth Boucher

Rehabilitation Practitioner · Commerce, CA

NPI number 1467634071 Active

Practice location

6055 E Washington Blvd, Suite 900
Commerce, CA 90040-2418

Call (323) 346-0960 Map

Fax (323) 346-0966

Mailing address

13603 Marina Pointe Dr, D315
Marina Del Rey, CA 90292-5583

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1467634071

Elisabeth Boucher's National Provider Identifier is 1467634071, issued on Dec 5, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Commerce, CA. The record was last updated on Dec 5, 2007.