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Carolyn Bogart, PT

Physical Therapist in Mount Pleasant, WI. Individual provider (NPI-1).

NPI number1164075552
StatusActive
Last updated in NPPESAug 30, 2022

Details

NPI
1164075552
Entity type
Individual (NPI-1)
Name
Carolyn Bogart
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2019
Certification date
Aug 30, 2022
Last updated
Aug 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist14602WIYes
225100000X Physical Therapist070024731IL

Practice location

7300 Washington Ave Ste B
Mount Pleasant, WI 53406-6525

Phone 262-321-6000

Mailing address

7300 Washington Ave Ste B
Mount Pleasant, WI 53406-6525

Phone 262-321-6000

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