Individual
CAROLYN MUSHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4700 PEBBLE BEACH DR, QUINCY, IL 62305-6098
(847) 404-3854
(217) 228-2262
Mailing address
4700 PEBBLE BEACH DR, QUINCY, IL 62305-6098
(847) 404-3854
(217) 228-2262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005018
IL
225100000X
Physical Therapist
2006005286
MO
Other
Enumeration date
06/08/2010
Last updated
05/08/2012
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