Individual
ALYSSA C CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
607 EDELWEISS DR, GREEN BAY, GREEN BAY, WI 54302-5117
(920) 609-3846
(715) 524-5708
Mailing address
607 EDELWEISS DR, GREEN BAY, GREEN BAY, WI 54302-5117
(920) 609-3846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5294-26
WI
Other
Enumeration date
03/28/2013
Last updated
09/16/2016
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