Individual
MRS. CAROL ANNE BOESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2025 W OKLAHOMA AVE, SUITE 104, MILWAUKEE, WI 53215-4455
(414) 647-7678
(414) 647-6983
Mailing address
S78W20146 MONTEREY DR, MUSKEGO, WI 53150-8119
(262) 679-4837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9715024
WI
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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