Karissa Mccorison

NPI #1093220774 in Appleton, Wisconsin

Provider Information

NPI Number: 1093220774
Entity Type: Individual
Name: Karissa Mccorison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 4, 2017
Last Updated: Dec 4, 2017

Practice Location

Address: 3300 W BREWSTER ST
City: Appleton
State: Wisconsin
ZIP Code: 54914-6444
Phone: (920) 832-1657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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