Individual
KRISTINE MARIE SOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 COMMERCE DR, SUITE 114, RACINE, WI 53406-3700
(262) 886-3431
(262) 886-3954
Mailing address
10368 S MONARDY LN, OAK CREEK, WI 53154-6634
(414) 207-1100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10707-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10707-024
STATE PHYSICAL THERAPY LISCENCE
WI
Enumeration date
04/22/2008
Last updated
03/20/2009
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