Individual
CHRISTINE M SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-8753
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13852
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P13852
STATE LICENSE
NC
Enumeration date
08/14/2012
Last updated
08/25/2022
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