Individual
CHRISTIAN LISOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7350 SWEDE BOTTOM RD, HOUSTON, MN 55943-8464
(507) 459-3294
Mailing address
7350 SWEDE BOTTOM RD, HOUSTON, MN 55943-8464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3295-19
WI
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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