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Mrs. Jacqueline Ann Bogucke, PT
Specialist in Oshkosh, Wisconsin
NPI 1639233034

Jacqueline Ann Bogucke is a Specialist based in Ripon, WI. Jacqueline Ann Bogucke practices in Oshkosh, WI and has the professional credentials of PT. The NPI Number for Jacqueline Ann Bogucke is 1639233034 and holds a License No. 4368-024 (Wisconsin).

The current practice location address for Jacqueline Ann Bogucke is 2300 State Road 44, Oshkosh, WI and can be reached out via phone at 920-233-2373.

Location: 2300 State Road 44, Oshkosh, WI, 54971-9221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639233034
Provider Name
Jacqueline Ann Bogucke
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2300 State Road 44, Oshkosh, WI, 54971-9221
Phone Number
920-233-2373
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4368-024 01 WI WI DEPARTMENT OF REG.
institution
Provider Business Practice Location Address Details
Address
2300 State Road 44
City
Oshkosh
State
Wisconsin
Zip
54904-9137
Phone Number
920-233-2373
Fax Number
person
Provider Business Mailing Address Details
Address
2300 State Road 44
City
Oshkosh
State
Wisconsin
Zip
54904-9137
Phone Number
920-233-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4368-024 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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