Individual
CHRISTA ANNE OVERFORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2117 N 56TH ST, MILWAUKEE, WI 53208-1027
(414) 364-4012
Mailing address
2117 N 56TH ST, MILWAUKEE, WI 53208-1027
(414) 364-4012
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
4604027
WI
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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