| Anthony Manning Boucher, MPT | |
|
8885 Hwy 34 South, Quinlan, TX 75474 | |
| (903) 356-4100 | |
| (903) 356-4140 |
| Full Name | Anthony Manning Boucher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8885 Hwy 34 South, Quinlan, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790847317 | NPI | - | NPPES |
| 165348701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1105583 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Manning Boucher, MPT Po Box 2500, Rockwall, TX 75087 Ph: (972) 771-0999 | Anthony Manning Boucher, MPT 8885 Hwy 34 South, Quinlan, TX 75474 Ph: (903) 356-4100 |
Yarianni Leal, Physical Therapist Medicare: Medicare Enrolled Practice Location: 19001 County Road 334, Quinlan, TX 75474 Phone: 210-416-2145 | |
Jennifer Dykes, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 State Highway 34 S Spc B, Quinlan, TX 75474 Phone: 903-356-4100 Fax: 903-356-4140 |