Individual
CARRIE CALBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1676-19
WI
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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