Active NPIIndividual provider

Susan L Bouchard, PTA

Physical Therapy Assistant in Haverhill, Massachusetts

NPI Number1932979309
Practice location
60 Lawrence St, Haverhill, MA 01830-4034
Fax
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Last updated
January 5, 2024

Susan Leigh Bouchard is a Physical Therapy Assistant based in Haverhill, MA. Susan Leigh Bouchard practices in Haverhill, MA and has the professional credentials of PTA. The NPI Number for Susan Leigh Bouchard is 1932979309 and holds a License No. 2769 (MA). The current practice location address for Susan Leigh Bouchard is 60 Lawrence St, Haverhill, MA 01830-4034 and can be reached out via phone at 978-697-4796.

Provider Profile Details

NPI Number
1932979309
Provider Name
Susan Leigh Bouchard
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
60 Lawrence St, Haverhill, MA 01830-4034
Phone Number
978-697-4796
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2024
Last Update Date
January 5, 2024
Certification Date
January 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Lawrence St
Haverhill, MA 01830-4034
Zip
01830-4034
Phone Number
978-697-4796
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
60 Lawrence St
Haverhill, MA 01830-4034
City
Haverhill
State
MA
Zip
01830-4034
Phone Number
978-697-4796

License Information

License Number
2769
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Susan L Bouchard, PTA?

The NPI number of Susan L Bouchard, PTA is 1932979309. It was assigned on January 5, 2024 and is currently active in the NPPES registry.

What is the specialty of Susan L Bouchard, PTA?

Susan L Bouchard, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 2769.

Where does Susan L Bouchard, PTA practice?

The practice location is 60 Lawrence St, Haverhill, MA 01830-4034. The office can be reached at 978-697-4796 (phone).

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 1932979309 directly on the NPPES registry website.

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