Individual
CARLA COLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
117A N THOMPSON ST, OCONOMOWOC, WI 53066-3028
(262) 244-5895
Mailing address
521 E GROVE ST, OCONOMOWOC, WI 53066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11327-24
WI
225100000X
Physical Therapist
Primary
2305205523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11327-24
LICENSE
WI
01
—
12240955
CAQH
MD
Enumeration date
07/09/2008
Last updated
03/06/2026
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