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Individual

CHRISTINA BAKKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T., M.B.A.

Contact information

Practice address
W370S10733 SHEARER RD, EAGLE, WI 53119-1762
(262) 844-1254
Mailing address
W370S10733 SHEARER RD, EAGLE, WI 53119-1762
(262) 844-1254

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4730-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40385100
WI
Enumeration date
10/13/2006
Last updated
01/14/2022
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