Angie M Corso PT

NPI 1790970838 - Physical Therapist - 225100000X

NPI Details
NPI 1790970838
Gender Female
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1818 N MEADE ST
APPLETON WI, 54911-3454, US
Phone (920) 731-4101
Fax
Business Location
PO BOX 2759
APPLETON WI, 54912-2759, US
Phone (920) 830-5900
Fax (920) 830-5910
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 6219-024
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According to our database, Mrs. Angie M Corso PT NPI is 1790970838, taxonomy code is 225100000X and license number is 6219-024, license state is located at Wisconsin. Angie M Corso PT physically located at 1818 N Meade St, Appleton WI, 54911-3454. NPI Number Angie M Corso PT has the Individual type.

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1790970838 NPI number is provided on an as is basis without warranty of any kind. 1790970838 is maintained by the National Plan & Provider Enumeration System. The contents of Angie M Corso PT are for informational purposes only.