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Colleen Boucher, DPT

Physical Therapist in Kissimmee, FL. Individual provider (NPI-1).

NPI number1922057488
StatusActive
Last updated in NPPESNov 7, 2025

Details

NPI
1922057488
Entity type
Individual (NPI-1)
Name
Colleen Boucher
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
May 10, 2006
Certification date
Nov 7, 2025
Last updated
Nov 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT40135FLYes

Practice location

301 E. Oak Street
Suite D
Kissimmee, FL 34744-4554

Phone 407-847-9110

Mailing address

501 E Oak St Ste D
Kissimmee, FL 34744-4554

Phone 407-847-9110

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