Individual
MRS. CHRISTINE MARIE CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2730 W RAMSEY AVE, MILWAUKEE, WI 53221-4814
(414) 282-2600
(414) 282-2051
Mailing address
5708 S MADELINE AVE, MILWAUKEE, WI 53221-3950
(414) 423-9891
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
557-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36126900
—
WI
Enumeration date
05/08/2007
Last updated
07/08/2007
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