Provider Demographics
NPI:1992030811
Name:SCHULZ, CHRISTINE A (4704-27)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:A
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:4704-27
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1070 PLEASANT VIEW RD
Mailing Address - Street 2:105
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-4693
Mailing Address - Country:US
Mailing Address - Phone:608-712-6676
Mailing Address - Fax:
Practice Address - Street 1:400 N MORRIS ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-1857
Practice Address - Country:US
Practice Address - Phone:608-873-5651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant