Individual
CHRISTINE F WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
230 S SAINT FRANCIS DR, #5, SANTA FE, NM 87501-2454
(505) 982-8561
(505) 989-1740
Mailing address
29 DOMINGO RD, SANTA FE, NM 87508-8256
(505) 231-3361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1265
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20578521
—
NM
Enumeration date
09/20/2006
Last updated
11/26/2012
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