Individual
DARCY CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4427 E PIC A DILLY DR, JANESVILLE, WI 53546-9606
(608) 868-7921
Mailing address
4427 E PIC A DILLY DR, JANESVILLE, WI 53546-9606
(608) 868-7921
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
323-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323-19
PTA LICENSE
WI
Enumeration date
08/19/2016
Last updated
08/19/2016
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