Individual
CAROLYN GURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 16TH ST, RACINE, WI 53406-4467
(262) 898-2777
(262) 637-7851
Mailing address
6101 16TH ST, RACINE, WI 53406-4467
(262) 898-2777
(262) 637-7851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13657-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871677963
NPI
WI
Enumeration date
04/12/2017
Last updated
04/12/2017
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