Ann Marie Bouchard
Individual provider Active NPI Recreation Therapist · Burton, MI
NPI 1780911982 · NPPES record last updated Nov 9, 2009
Key facts
- NPI
- 1780911982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Recreation Therapist 225800000X
- Practice address
- 6165 E Bristol Rd
Burton, MI 48519-1738 - Phone
- (517) 983-2253
- Fax
- (810) 695-0888
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Yes |
Addresses
Primary practice location
6165 E Bristol Rd
Burton, MI 48519-1738
Mailing address
6165 E Bristol Rd
Burton, MI 48519-1738
Phone (517) 983-2253
Other providers in Burton, MI
- Cathy Junelle Blair
- Iyana Denee Blanks-Prater
- Blue Lakes Behavioral Health, LLC
- Adam J Boice
- David Charles Bonadeo
- Jennifer A Bouck
- Joyce Ann Brantley
- Bar'Shay NA'Toya Brewton-Wilson
- Devon Brickey
- Carrie Brown
All providers in Burton, MI · Recreation Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.