Individual
CARLIE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
475 W RIVER WOODS PKWY, GLENDALE, WI 53212-1081
(414) 961-6800
Mailing address
240 ROYAL OAK CT, PEWAUKEE, WI 53072-2693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16495-24
WI
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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