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Individual

MRS. BONITA ANNE CHRISTENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
220 SCHOLL CT, AMERY, WI 54001-1440
(715) 268-7107
(715) 268-6167
Mailing address
220 SCHOLL CT, AMERY, WI 54001-1440
(715) 268-7107
(715) 268-6167

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
734019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40387000
WI
Enumeration date
10/12/2006
Last updated
07/08/2007
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