Individual
HANNAH KORALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
8700 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226-3595
(414) 805-8656
Mailing address
9200 W WISCONSIN AVE, WAUWATOSA, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1951
WI
Other
Enumeration date
09/07/2011
Last updated
12/06/2018
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