Organization
STACKED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LYNN CORREA OTD (OWNER)
(262) 207-4031
Entity
Organization
Contact information
Practice address
410 TAHOE DR, BURLINGTON, WI 53105-9568
(262) 207-4032
Mailing address
PO BOX 494, BURLINGTON, WI 53105-0494
(262) 207-4032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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