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

Mrs. Annie Bouchereau, MPTA

Individual provider Developmental Therapist · NPI 1710050778

Mrs. Annie Bouchereau, MPTA is a Developmental Therapist in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1 Oakwood Blvd Ste 130
Hollywood, FL 33020-1937
Phone: (954) 925-3844
Fax: (954) 925-3845
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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 PT19446 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1710050778
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPTA
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

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