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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. REID ELLIOT BOUCHARD, DPT

Active

MR. REID ELLIOT BOUCHARD, DPT is a Physical Therapy Assistant healthcare provider located in VISTA, California. NPI 1104253855 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · VISTA, CA

Registration Details

NPI Number
1104253855
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2013 (12.896284549995 yrs)
Last Updated
Aug 19, 2021
License
PT40403 (CA)

Practice Information

Address
1958 VIA CTR
VISTA, CA, 920816056
Browse CA providers · Browse ZIP 92081
Phone
7607249000
Fax
7607243686
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in VISTA, CA

Name Credential NPI
MARIA ELENA MEJIA-O'NEILL PT MPT 1326022435
JANET ELAINE LEE PT 1669457453
JAIME ELIZABETH-LYN ROSS DPT 1124005665
ELIZABETH HELENE PABISZ MPT 1780651265
KIRK J WERNER 1225006844
LISA JOY BAKER DPT 1346200045
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.