Individual
GARY S CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT,MS,SCS
Contact information
Practice address
2125 NORTHPOINT BLVD, HIXSON, TN 37343-4072
(423) 875-3376
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5856
TN
225100000X
Physical Therapist
6325
GA
Other
Enumeration date
09/26/2006
Last updated
02/26/2016
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