Individual
ANNETTE CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3537
Mailing address
W2393 HEATHER ST, OCONOMOWOC, WI 53066-9578
(920) 474-4458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3449-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40201200
—
WI
Enumeration date
08/14/2006
Last updated
07/08/2007
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