Individual
MELANY A KORNOWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301
(920) 433-3500
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(924) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5638 - 26
WI
Other
Enumeration date
01/29/2015
Last updated
08/31/2018
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