Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW JOSEPH BOUCHARD, D.P.T.
ActivePhysical Therapy Assistant · BANGOR, ME
Registration Details
- NPI Number
- 1174820518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2011 (15.183123547631 yrs)
- Last Updated
- Feb 21, 2011
- License
-
PT3456 (ME)
Practice Information
- Address
-
404 STATE STSUITE #610BANGOR, ME, 044016623Browse ME providers · Browse ZIP 04401
- Phone
- 2079478381
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| MR. BERNARD CASTONGUAY JR. | PT | 1295739670 |
| MR. GARTH WARD DANIELSON | PT | 1285639534 |
| DANIELLE MARIE HAGGERTY | PT | 1811999527 |
| MS. CHRISTY LANE STOUT | P.T. | 1790776540 |
| MRS. AMY DIFRANCESCO | P.T. | 1427030915 |
| NICOLE C BROOKER | PT | 1356371355 |
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.