Wednesday, August 10, 2022

CHRISTINE – GREEN , PT, ATC in KENOSHA – NPI – 1528052172

CHRISTINE - GREEN , PT, ATC in KENOSHA - NPI - 1528052172

CHRISTINE GREEN is a dentist based out of GREAT LAKES,Illinois CHRISTINE practices in KENOSHA,Wisconsin and has the professional credentials of PT, ATC .The NPI Number for CHRISTINE GREEN is 1528052172 and he holds a Licence No. PT00005215(Wisconsin).

CHRISTINE current practice location address is 3420 ILLINOIS ST,,GREAT LAKES,Illinois and he can be reached out via phone at 2627640754 and via fax at. You can also correspond with CHRISTINE GREEN through mail at his mailing address at7822 28TH AVE,,KENOSHA,Wisconsin – 531435622 (mailing address contact number – 600883161).

Provider Profile Details

Credential
NPI Number 1528052172
Provider Name CHRISTINE GREEN
PT, ATC
Gender 42436
Provider Entity Type Individual
Provider Enumeration Date 247200000X
Last Update Date 38603

Provider Business Mailing Address Details

Address 3420 ILLINOIS ST,
City GREAT LAKES
State Illinois
Zip 600883161
Phone Number 8476886755

Provider Business Practice Location Address Details

Address 7822 28TH AVE,
City KENOSHA
State Wisconsin
Zip 531435622
Phone Number 2627640754

Provider's Primary Taxonomy Details

Taxonomy 247200000X
License No. PT00005215
State Wisconsin

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