Individual
MS. BRANDI LYNN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1809 S 17TH ST, MILWAUKEE, WI 53204-3111
(414) 507-3275
Mailing address
1809 S 17TH ST, MILWAUKEE, WI 53204-3111
(414) 507-3275
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
97019
WI
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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