Individual
MRS. CHRISTINA MARIE SMTIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9257
(608) 745-6290
Mailing address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9257
(608) 745-6290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1219-019
WI
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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