Individual
CAROL KASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3821 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3712
(414) 762-7336
Mailing address
3015 E EMILY AVE, OAK CREEK, WI 53154-3465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1365 024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40127000
—
WI
Enumeration date
05/02/2007
Last updated
07/09/2007
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