| Doctor Name: | JULIE M BOUCHARD |
| NPI Number: | 1043467079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT3450 |
| Business Practice Address: | 48 Tandberg Trl Windham, ME - 040626402 |
| Business Phone Number: | 2078923952 |
| Business Fax Number: | 2078924678 |
| Mailing Address: | 55 Congress Ave., Suite 6 WINDHAM |
| State: | ME |
| Postal Code: | 040625554 |
| Phone Number: | 2073860351 |
| Fax Number: | 2073860181 |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |