Individual
CHRISTINE WALLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
227
WI
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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