CHRISTINE GREEN

KENOSHA, WI
NPI1528052172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X 
(Licence: WA  PT00005215)
Enumeration Date2005-09-08
Last Update Date2016-03-07
Business Address
-- CHRISTINE GREEN PT, ATC
7822 28TH AVE
KENOSHA, WI 53143-5622
Phone number: 262-764-0754
Mailing Address
-- CHRISTINE GREEN PT, ATC
3420 ILLINOIS ST
GREAT LAKES, IL 60088-3161
Phone number: 847-688-6755