Lease, Corissa M

Lease, Corissa M is an sole proprietor health care provider with primary practice located at 1218 State St , Black Earth WI 53515. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Lease, Corissa M can be contacted via phone (608) 767-2572.

Contact Information

Primary practice address
1218 State St Black Earth WI 53515
Phone: (608) 767-2572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1437740503
LBN Legal business name Lease, Corissa M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2021
Last updated Feb 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers