Bouchereau, Annie

Bouchereau, Annie is an individual health care provider with primary practice located at 1 Oakwood Blvd Ste 130 , Hollywood FL 33020-1937. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bouchereau, Annie can be contacted via phone (954) 925-3844.

Contact Information

Primary practice address
1 Oakwood Blvd Ste 130 Hollywood FL 33020-1937
Phone: (954) 925-3844
Fax: (954) 925-3845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19446 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1710050778
LBN Legal business name Bouchereau, Annie
Credentials MPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Sep 9th, 2011 - about 15 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 1710050778 NPPES
Florida MEDICAID 886421700

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