Individual
AMY LYNN CHRISTNOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 223-0598
Mailing address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 223-0598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11371-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417286063
—
WI
Enumeration date
12/10/2009
Last updated
05/27/2010
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