Individual
MR. CHRISTOPHER JAY SHICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
900 N 92ND ST, WAUWATOSA, WI 53226-1202
(414) 805-2844
Mailing address
2550 N 67TH ST, WAUWATOSA, WI 53213-1443
(773) 981-3319
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
6059-26
WI
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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