Christopher Jay Shickles, OT
Occupational Therapist, Physical Rehabilitation in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1023709342
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1023709342
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher Jay Shickles
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2023
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | 6059-26 | WI | Yes |
Practice location
900 N 92nd StWauwatosa, WI 53226-1202
Phone 414-805-2844
Mailing address
2550 N 67th StWauwatosa, WI 53213-1443
Phone 773-981-3319
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