Individual provider · Type 1 NPI

Kimberlee Marie Bouchard

Physical Therapy Assistant · Oswego, NY

NPI number 1831429000 Active

Practice location

159 W 1st St
Oswego, NY 13126-2045

Mailing address

3630 US Route 11
Pulaski, NY 13142-2161

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X007357-1 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1831429000

Kimberlee Marie Bouchard's National Provider Identifier is 1831429000, issued on Jan 11, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oswego, NY. The record was last updated on Jan 11, 2010.