Individual
CHANTAL REA BOUGIE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 831-5050
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 831-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15807
WI
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/15/2022
Last updated
06/07/2024
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