Individual
CARMEN DANIELLE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA/DOR
Contact information
Practice address
916 E LEWIS ST, WHITEHALL, MI 49461-1699
(231) 894-4056
(231) 893-1963
Mailing address
916 E LEWIS ST, WHITEHALL, MI 49461-1699
(231) 894-4056
(231) 893-1963
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000476
MI
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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