Individual
MICHELLE JEAN KORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
Mailing address
4908 PARTRIDGE WAY, STEVENS POINT, WI 54482-8645
(715) 630-8654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2782-26
WI
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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