JACOB PAUL BOUCHER

GRAFTON, WI
NPI1619501442
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: WI  17078-24)
Enumeration Date2020-03-02
Last Update Date2025-03-27
Business Address
JACOB PAUL BOUCHER
1235 DAKOTA DR STE L
GRAFTON, WI 53024-9477
Phone number: 262-376-2085
Mailing Address
JACOB PAUL BOUCHER
2001 ALFORD PARK DR
KENOSHA, WI 53140-1927
Phone number: 262-424-5253
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