Individual
CAROLYN M MACHURICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915
(920) 738-2000
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915
(920) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3740024
WI
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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