Bouchard, Pamela

Bouchard, Pamela is an individual health care provider with primary practice located at 673 Cottage Grove Rd , Bloomfield CT 06002-3033. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bouchard, Pamela can be contacted via phone (860) 286-1043.

Contact Information

Primary practice address
673 Cottage Grove Rd Bloomfield CT 06002-3033
Fax: (860) 286-2836
Website:

Health care specialties

Profile Details

NPI number 1790808335
LBN Legal business name Bouchard, Pamela
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790808335 NPPES
Connecticut Other 008060 PT LICENSE

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