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Individual

CARLY LENZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
304 E JACKSON ST STE 2F, WILLARD, MO 65781-9472
(417) 221-4667
(417) 744-9674
Mailing address
3811 S WELLER AVE APT A207, SPRINGFIELD, MO 65804-5248
(480) 710-4523

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022030880
MO

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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