Individual
MRS. CHRISTINE MARIE KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6666 W MICHAEL PL, MICHIGAN CITY, IN 46360-9167
(219) 879-6865
Mailing address
6666 W MICHAEL PL, MICHIGAN CITY, IN 46360-9167
(219) 879-6865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000578A
IN
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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