Doctor Name: | CHRISTINE F WISMER |
NPI Number: | 1679671069 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1265 |
Business Practice Address: | 230 S Saint Francis Dr #5 Santa Fe, NM - 875012454 |
Business Phone Number: | 5059828561 |
Business Fax Number: | 5059891740 |
Mailing Address: | 29 Domingo Rd, SANTA FE |
State: | NM |
Postal Code: | 875088256 |
Phone Number: | 5052313361 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |