Individual
HANNAH MARIE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1850 11TH ST, FENNIMORE, WI 53809-1612
(608) 822-6100
Mailing address
311 FREMONT ST, BOSCOBEL, WI 53805-1747
(608) 485-3221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
187019
WI
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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