Individual
CORRINE NICOLE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
650 BIRCH ST, BALDWIN, WI 54002-9348
(715) 684-3231
Mailing address
2120 CATTAIL WAY, HUDSON, WI 54016-8083
(507) 273-0849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103947
MN
225X00000X
Occupational Therapist
Primary
4923-26
WI
Other
Enumeration date
08/17/2010
Last updated
06/22/2021
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