Individual
MIKAYLA KORNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3939 S 92ND ST, GREENFIELD, WI 53228-2140
(414) 321-1800
Mailing address
3939 S 92ND ST, GREENFIELD, WI 53228-2140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6288-26
WI
Other
Enumeration date
08/30/2018
Last updated
06/19/2023
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