Individual
CARLA MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144-1604
(773) 600-5424
Mailing address
1201 COUNTY ROAD H UNIT B24, GENOA CITY, WI 53128-2614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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