Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberlee Marie Bouchard

Individual provider Physical Therapy Assistant · NPI 1831429000

Kimberlee Marie Bouchard is a Physical Therapy Assistant in Oswego, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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Practice location Address checks out

159 W 1st St
Oswego, NY 13126-2045
Phone: (315) 342-9575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 007357-1 (NY)

Record details

NPI number1831429000
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2010
Last updated in NPPESJanuary 11, 2010
Mailing address3630 Us Route 11, Pulaski, NY 13142-2161

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