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Individual

CARLA CORREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6109 BRAUN RD, MOUNT PLEASANT, WI 53403-9409
(262) 977-6726
Mailing address
6343 47TH AVE, KENOSHA, WI 53142-3109
(262) 331-4239

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.011329
IL
225X00000X
Occupational Therapist
Primary
5819-26
WI

Other

Enumeration date
02/09/2016
Last updated
01/26/2023
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