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Contact Information

CAROL M MIRACLE, PHYSICAL THERAPIST
N27W5707 LINCOLN BLVD
CEDARBURG, WI53012-2852
 Phone: 262-376-7676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CAROL M MIRACLE · (Female)

NPI Number 1588873905
Status Active
Credentials PHYSICAL THERAPIST
Entity Individual
Enumeration date 05/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1032-024
  • WI Medicaid 40309100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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