Individual
MRS. CHRISTINE MARIE GOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
614 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-7508
(920) 849-1811
Mailing address
W2809 E JEFFERSON RD, CHILTON, WI 53014-9670
(920) 849-3259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
263-019
WI
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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