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Individual

MRS. CHRISTINA MARIE PRAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA 217-19

Contact information

Practice address
2448 S 102ND ST, SUITE 340, MILWAUKEE, WI 53227-2466
(414) 329-2432
(800) 350-4260
Mailing address
N4660 LAIRD RD, SHIOCTON, WI 54170-8939
(920) 851-9971

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
217-19
WI

Other

Enumeration date
12/10/2012
Last updated
12/10/2012
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