Mr. Brandon A Boucher, DPT
Physical Therapist in Woodstown, New Jersey
1205182888- Practice location
- 84 E Grant St, Suite 3, Woodstown, NJ 08098-1400
- Phone
- 856-769-4564
- Fax
- 856-769-4637
- Last updated
- August 1, 2012
Brandon Arthur Boucher is a Physical Therapist based in Woodstown, NJ. Brandon Arthur Boucher practices in Woodstown, NJ and has the professional credentials of DPT. The NPI Number for Brandon Arthur Boucher is 1205182888 and holds a License No. 40QA01449200 (NJ). The current practice location address for Brandon Arthur Boucher is 84 E Grant St, Suite 3, Woodstown, NJ 08098-1400 and can be reached out via phone at 856-769-4564 and via fax at 856-769-4637.
Provider Profile Details
- NPI Number
- 1205182888
- Provider Name
- Brandon Arthur Boucher
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 84 E Grant St, Suite 3, Woodstown, NJ 08098-1400
- Phone Number
- 856-769-4564
- Fax Number
- 856-769-4637
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 1, 2012
- Last Update Date
- August 1, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 84 E Grant St
Suite 3
Woodstown, NJ 08098-1400 - City
- Woodstown
- State
- New Jersey
- Zip
- 08098-1400
- Phone Number
- 856-769-4564
- Fax Number
- 856-769-4637
Provider Business Mailing Address Details
- Address
- Po Box 146
Woodstown, NJ 08098-0146 - City
- Woodstown
- State
- NJ
- Zip
- 08098-0146
- Phone Number
- 856-769-4564
- Fax Number
- 856-769-4637
License Information
- License Number
- 40QA01449200
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Brandon A Boucher, DPT?
The NPI number of Mr. Brandon A Boucher, DPT is 1205182888. It was assigned on August 1, 2012 and is currently active in the NPPES registry.
What is the specialty of Mr. Brandon A Boucher, DPT?
Mr. Brandon A Boucher, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01449200.
Where does Mr. Brandon A Boucher, DPT practice?
The practice location is 84 E Grant St, Suite 3, Woodstown, NJ 08098-1400. The office can be reached at 856-769-4564 (phone) or 856-769-4637 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205182888 directly on the NPPES registry website.