Individual
CHRISTINA VAN EYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
N6369 KOEPKE RD, SHIOCTON, WI 54170-9211
(920) 851-0653
Mailing address
N6369 KOEPKE RD, SHIOCTON, WI 54170-9211
(920) 851-0653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2537 - 19
WI
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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