Individual
MS. CHRISTINE E. HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9386
Mailing address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3109-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40446300
MEDICAL ASSISTANCE
WI
Enumeration date
11/29/2006
Last updated
07/08/2007
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