Corissa M Lease
Corissa M Lease is a Physical Therapy Assistant in Black Earth, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1218 State StBlack Earth, WI 53515
Phone: (608) 767-2572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1437740503 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2021 |
| Last updated in NPPES | February 1, 2021 |
| Certification date | January 13, 2021 |
| Mailing address | 308 S Harrison St, Belleville, WI 53508-9302 |