Korslin, Tara
Korslin, Tara is an individual health care provider with primary practice located at 114 E Green Tree Rd , Clintonville WI 54929-1182. 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. Korslin, Tara can be contacted via phone (715) 823-3336.Contact Information
Primary practice address
114 E Green Tree Rd
Clintonville WI 54929-1182
Phone: (715) 823-3336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3309-19 | Wisconsin |
Profile Details
| NPI number | 1629794862 |
|---|---|
| LBN Legal business name | Korslin, Tara |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2022 |
| Last updated | Oct 19th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629794862 | NPPES |
| Wisconsin | Other | 3309-19 | WI LICENSE |
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