NPI 1528052172

Christine Green, PTATC

Practitioner Other Technician Kenosha, WI

Practice location

Address: 7822 28th Ave, Kenosha, WI 53143-5622
Phone: (262) 764-0754
Mailing address: 3420 Illinois St, Great Lakes, IL 60088-3161

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence PT00005215 (WA)

Other Technician, Other providers in Wisconsin →

Registry record

NPI: 1528052172
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Sep 2005
Record last updated: 7 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.