Erica Boucher, | |
70 Butler Street, Salem, NH 03079-3974 | |
(603) 893-2900 | |
(603) 893-1628 |
Full Name | Erica Boucher |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 70 Butler Street, Salem, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609248210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11427 (Massachusetts) | Primary |
225100000X | Physical Therapist | 2191 (New Hampshire) | Secondary |
Provider Name | Legacy Healthcare Services Massachusetts Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962108761 PECOS PAC ID: 8628441805 Enrollment ID: O20230309000986 |
Mailing Address | Practice Location Address |
---|---|
Erica Boucher, 70 Butler Street, Salem, NH 03079-3974 Ph: (603) 893-2900 | Erica Boucher, 70 Butler Street, Salem, NH 03079-3974 Ph: (603) 893-2900 |
Lauren Rashford, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 | |
Mrs. Gerriann Samowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Mariebeth Velando, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 866-420-1055 | |
Dan Morin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 866-420-1055 | |
Lory D. Grenier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler St., Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Jennifer Campbell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Salem Sports & Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 N Broadway, Salem, NH 03079 Phone: 603-898-9947 Fax: 603-898-9949 |