CORISSA LEASE

Physical Therapy Assistant

NPI: 1437740503Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

Contact & Hours

Address: 1218 STATE ST
BLACK EARTH, WI 53515
Phone: (608) 767-2572

Location

Practice Location

1218 STATE ST, BLACK EARTH, WI

Quick Facts

NPI: 1437740503
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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