Individual
AHAVA CHRISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N6115 US HIGHWAY 45, NEW LONDON, WI 54961-8541
(920) 707-0295
Mailing address
N6115 US HIGHWAY 45, NEW LONDON, WI 54961-8541
(920) 707-0295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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