Individual
CAROL JEAN CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5299
Mailing address
N1411 SAINT JOHNS RD, FORT ATKINSON, WI 53538-9656
(920) 563-4650
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
724-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40579100
—
WI
Enumeration date
05/13/2008
Last updated
07/26/2019
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