Individual
BRET D CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
W4266 STATE HIGHWAY 29, OWEN, WI 54460-8932
(715) 229-2172
(715) 229-9482
Mailing address
115 W BUTTERNUT ST, ABBOTSFORD, WI 54405-9546
(715) 223-2959
(715) 229-9482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4312-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40199400
—
WI
Enumeration date
05/10/2007
Last updated
07/09/2007
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