Provider Demographics
NPI:1144564907
Name:BOUCHARD-GILL, FRANCE (BSCPT)
Entity Type:Individual
Prefix:MRS
First Name:FRANCE
Middle Name:
Last Name:BOUCHARD-GILL
Suffix:
Gender:F
Credentials:BSCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 LEVANTE ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-5174
Mailing Address - Country:US
Mailing Address - Phone:760-704-1032
Mailing Address - Fax:760-635-0740
Practice Address - Street 1:1940 LEVANTE ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-5174
Practice Address - Country:US
Practice Address - Phone:760-704-1032
Practice Address - Fax:760-635-0740
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36677225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics