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Individual

CONSTANCE CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
5000 W CHAMBERS ST., MILWAUKEE, WI 53210
(414) 447-2209
Mailing address
4848 N PORT WASHINGTON RD APT 1, GLENDALE, WI 53217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7065
WI

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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