Jacob Paul Boucher

NPI #1619501442 in Grafton, Wisconsin

Provider Information

NPI Number
1619501442
Entity Type
Individual
Name
Jacob Paul Boucher
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist - Orthopedic
Enumeration Date
Mar 2, 2020
Last Updated
Mar 27, 2025

Practice Location

Address
1235 DAKOTA DR STE L
ZIP Code
53024-9477
Phone
(262) 376-2085

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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