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Individual

CHRISTL GIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
400 N MORRIS ST, STOUGHTON, WI 53589-1857
(608) 873-5651
(608) 873-5748
Mailing address
400 N MORRIS ST, STOUGHTON, WI 53589-1857
(608) 873-5651
(608) 873-5748

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10944-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36165700
WI
Enumeration date
08/19/2008
Last updated
08/19/2008
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