Individual
KAREN COLE GOTTSCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7610 PERSHING BLVD, KENOSHA, WI 53142-4318
(262) 948-3600
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
148464-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100140484
—
WI
01
—
14864-24
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
04/25/2007
Last updated
06/06/2024
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