Individual
CHRISTINE HIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-4669
Mailing address
2604 DUNCAN RD, BLOOMER, WI 54724-1218
(715) 568-4119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1795-027
WI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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