Individual
CHRISTINE BODEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102919
MN
225X00000X
Occupational Therapist
Primary
4434026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41811700
—
WI
Enumeration date
04/18/2008
Last updated
06/21/2021
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