Individual
MRS. ELIZABETH ANN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
401 BADGER LN, WAUNAKEE, WI 53597-3115
(608) 850-6951
Mailing address
401 BADGER LANE, WAUNAKEE, WI 53597
(608) 850-6951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11310-24
WI
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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