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Individual

MS. CARSON MOESLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
8548 GOLFVIEW DR, ORLAND PARK, IL 60462-2851
(708) 606-3760
Mailing address
8548 GOLFVIEW DR, ORLAND PARK, IL 60462-2851
(708) 606-3760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024015
IL
2255A2300X
Athletic Trainer
M24011592870
IL

Other

Enumeration date
01/04/2016
Last updated
09/25/2018
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