Individual
CHRISTIAN TIMOTHY PULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
Mailing address
2428 SPRINGDALE RD APT 12, WAUKESHA, WI 53186-8721
(260) 249-0495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6186
WI
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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