Individual
MS. CHRISTINE E WIKE
Active
Individual
MS. CHRISTINE E WIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1481
MT
2251X0800X
Orthopedic Physical Therapist
1481
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340253
—
MT
Enumeration date
09/21/2006
Last updated
10/31/2014
Update your record
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