Christine Green, PT, ATC

NPI #1528052172 in Kenosha, Wisconsin

Provider Information

NPI Number: 1528052172
Entity Type: Individual
Name: Christine Green, PT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: PT, ATC
Enumeration Date: Sep 8, 2005
Last Updated: Mar 7, 2016

Practice Location

Address: 7822 28TH AVE
City: Kenosha
State: Wisconsin
ZIP Code: 53143-5622
Phone: (262) 764-0754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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