Individual
MS. VIRGINIA N CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DSC, OCS
Contact information
Practice address
1090 S HWY 89, JACKSON, WY 83001
(307) 733-5577
(307) 733-5505
Mailing address
PO BOX 8467, JACKSON, WY 83002-8467
(307) 733-5577
(307) 733-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
554
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113733600
—
WY
01
—
304295
BCBS
WY
Enumeration date
10/21/2006
Last updated
12/16/2019
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