Individual
MR. MICHAEL R CHRISTOPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 1ST ST N, SUITE 200, JACKSONVILLE BEACH, FL 32250-6945
(866) 301-5038
Mailing address
333 1ST ST N, SUITE 200, JACKSONVILLE BEACH, FL 32250-6945
(866) 301-5038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2105
CA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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