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NPI Profile for JACOB P BOUCHER in GRAFTON, WI.
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice |
| NPI # | 1619501442 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/02/2020 | |
| Last updated | 03/27/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JACOB P BOUCHER
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JACOB P BOUCHER