Individual
JADE J KORUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3598
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3500
(608) 825-3598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
466578
OR
225X00000X
Occupational Therapist
Primary
7176
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417660937
—
WI
Enumeration date
12/29/2022
Last updated
10/18/2024
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