Individual
MARY LYNN CARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6155 MINERAL POINT RD, MADISON, WI 53705-4457
(608) 230-4463
(608) 230-4368
Mailing address
417 SHEPARD TER, MADISON, WI 53705-3627
(608) 238-3394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1813-024
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40066200
—
WI
Enumeration date
05/02/2007
Last updated
07/08/2007
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