Miranda Mara Boucher
Miranda Mara Boucher is a Physical Therapist in Cambridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.
- Licensed in
- MA
- In the registry since
- 2020
Practice location Address checks out
1493 Cambridge StCambridge, MA 02139-1047
Phone: (617) 665-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 25054 (MA) |
|---|
Record details
| NPI number | 1023620895 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 21, 2020 |
| Last updated in NPPES | August 28, 2020 |
| Certification date | August 28, 2020 |
| Mailing address | 66 White Loaf Rd, Southampton, MA 01073-9250 |
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