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

MIRANDA GRACE BOUCARD, ATC

Active

MIRANDA GRACE BOUCARD, ATC is a Athletic Trainer healthcare provider located in TOWSON, Maryland. NPI 1447741442 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · TOWSON, MD

Registration Details

NPI Number
1447741442
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2018 (8.0807330878356 yrs)
Last Updated
Sep 15, 2021
Licenses
BOC315627 (NJ)
A0001284 (MD)

Practice Information

Address
8000 YORK RD
TOWSON, MD, 212524560
Browse MD providers · Browse ZIP 21252
Phone
4107045224
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in TOWSON, MD

Name Credential NPI
MATTHEW ROTHBARD ATC 1831182286
BRIAN BRADSHAW MS, ATC 1003800327
MS. AMY ERIN MAGLADRY MED, ATC 1457348757
MR. TERRY L. O'BRIEN ATC 1942283916
MR. J. NATHAN WILDER MS, ATC, CSCS 1619905767
THOMAS ROGER MARTIN JR. MS ATC 1326197799
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.