Alice Boucher, PT, DPT is a
Physical Therapist based in Waterbury Center, Vermont. Alice Boucher is licensed to practice in Vermont (license number 040.0102990) and her current practice location is
1945 Shaw Mansion Rd, Waterbury Center, Vermont. She can be reached at her office (for appointments etc.) via phone at
(860) 921-8394.
NPI number for Alice Boucher is 1215643762 and her current mailing address is 1945 Shaw Mansion Rd, Waterbury Center, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215643762.
Healthcare Provider's Profile
| Full Name | Alice Boucher |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 1945 Shaw Mansion Rd, Waterbury Center, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215643762
- Provider Enumeration Date: 01/27/2023
- Last Update Date: 01/27/2023
Medical Identifiers
Medical identifiers for Alice Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215643762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 040.0102990 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice Boucher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Alice Boucher, PT, DPT 1945 Shaw Mansion Rd, Waterbury Center, VT 05677-8256 Ph: (860) 921-8394 | Alice Boucher, PT, DPT 1945 Shaw Mansion Rd, Waterbury Center, VT 05677-8256 Ph: (860) 921-8394 |
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