| Mr Brandon Arthur Boucher, DPT | |
|
84 E Grant St, Suite 3, Woodstown, NJ 08098-1400 | |
| (856) 769-4564 | |
| (856) 769-4637 |
| Full Name | Mr Brandon Arthur Boucher |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 84 E Grant St, Woodstown, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205182888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01449200 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Woodstown Physical Therapy, Inc. | 2668652033 | 10 |
| Provider Name | Woodstown Physical Therapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154625721 PECOS PAC ID: 2668652033 Enrollment ID: O20110202000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brandon Arthur Boucher, DPT Po Box 146, Woodstown, NJ 08098-0146 Ph: (856) 769-4564 | Mr Brandon Arthur Boucher, DPT 84 E Grant St, Suite 3, Woodstown, NJ 08098-1400 Ph: (856) 769-4564 |
Stephanie S Ale, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 E Grant St, Suite 3, Woodstown, NJ 08098 Phone: 856-769-4564 Fax: 856-769-4637 | |
Kelly Boskey, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 E Grant St, Ste 3, Woodstown, NJ 08098 Phone: 856-769-4564 Fax: 856-769-4637 | |
Kaitlyn Victoria Vaccarelli, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 E Grant St, Woodstown, NJ 08098 Phone: 856-769-4564 Fax: 856-769-4637 | |
Gianna Paul, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 E Grant St Ste 3, Woodstown, NJ 08098 Phone: 856-769-4564 Fax: 856-769-4637 | |
Rebecca L. Melniczuk, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 84 E Grant St, Suite #3, Woodstown, NJ 08098 Phone: 856-769-4564 Fax: 856-769-4637 | |
Michael Finnan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 84 E Grant St, Suite 3, Woodstown, NJ 08098 Phone: 856-769-4564 Fax: 856-769-4637 |