Individual
CARLA MARIE LOEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11835-24
WI
225100000X
Physical Therapist
Primary
5501015677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11835-24
PHYSICAL THERAPY LICENSE NUMBER
WI
01
—
5501015677
PHYSICAL THERAPY LICENSE ID NUMBER
MI
Enumeration date
08/02/2011
Last updated
03/17/2014
Update your record
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