Individual
MEGAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 440-6596
Mailing address
10328 IVORY DOVE TRL, VERONA, WI 53593-8708
(608) 469-5943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14620-24
WI
Other
Enumeration date
08/23/2019
Last updated
11/30/2022
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