Individual
CAROL DUSOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3073 S CHASE AVE STE 630, MILWAUKEE, WI 53207-2668
(414) 292-3275
(414) 292-3298
Mailing address
3073 S CHASE AVE STE 630, MILWAUKEE, WI 53207-2668
(414) 292-3275
(414) 292-3298
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4588
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40219900
—
WI
Enumeration date
12/15/2005
Last updated
03/05/2018
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