National Provider Identifier

Jason Boucher

Jason Boucher is listed in the NPPES registry with a primary specialty of Occupational Therapist in Amherst, NY and a listed phone number of (716) 250-6500.

NPI 1841691839Amherst, NYOccupational Therapist

Profile Overview

NPI
1841691839
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
September 09, 2014
Last Updated
September 09, 2014

Practice Location

  • 3925 Sheridan Dr
  • Amherst, NY 14226-1738

Phone: (716) 250-6500

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1841691839
Entity Type
Individual
Last Name
Boucher
First Name
Jason
Mailing Street Address
3925 Sheridan Dr
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-1738
Mailing Country
US
Practice Street Address
3925 Sheridan Dr
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1738
Practice Country
US
Practice Phone
(716) 250-6500
Practice Fax
(716) 250-6560
Enumeration Date
September 09, 2014
Last Updated
September 09, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)