Individual
AMANDA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
329 N SHERMAN AVE APT 2, MADISON, WI 53704-4455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16356-24
WI
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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