Individual
CHRISTINE M WAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
1118 RIVER RD, DRESSER, WI 54009-4202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5164-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402451000
—
WI
Enumeration date
09/04/2008
Last updated
07/20/2017
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