KENT CARLSON

PEWAUKEE, WI
NPI1477719151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10398-024)
Enumeration Date2008-08-01
Last Update Date2011-05-09
Business Address
-- KENT CARLSON PT, MPT
2835 N GRANDVIEW BLVD SUITE 100
PEWAUKEE, WI 53072-5546
Phone number: 262-574-5185
Mailing Address
-- KENT CARLSON PT, MPT
4240 S COVENTRY RD
NEW BERLIN, WI 53151-6145
Phone number: