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Individual
CHRISTINA FONS
Active
Individual
CHRISTINA FONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
977-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.007747
IL. LICENSE
IL
05
—
40541800
—
WI
01
—
977-026
WIS. LICENSE
WI
Enumeration date
01/29/2007
Last updated
10/25/2017
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