Cristina Essola, DPT, MPH | |
3171 S 30th St, Milwaukee, WI 53215-4313 | |
(414) 659-6255 | |
Not Available |
Full Name | Cristina Essola |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3171 S 30th St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972949667 | NPI | - | NPPES |
41056400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11467-24 (Wisconsin) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978 |
Mailing Address | Practice Location Address |
---|---|
Cristina Essola, DPT, MPH 2020 W Wells St, Milwaukee, WI 53233-2720 Ph: () - | Cristina Essola, DPT, MPH 3171 S 30th St, Milwaukee, WI 53215-4313 Ph: (414) 659-6255 |
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