Provider Demographics
NPI:1548353253
Name:KORPI CHAUSS, JOAN DEANNE (OTR/L, CEA)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:DEANNE
Last Name:KORPI CHAUSS
Suffix:
Gender:F
Credentials:OTR/L, CEA
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:DEANNE
Other - Last Name:KORPI-GRAHEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 N OAK AVENUE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5703
Mailing Address - Country:US
Mailing Address - Phone:715-762-3212
Mailing Address - Fax:
Practice Address - Street 1:98 SHERRY AVE
Practice Address - Street 2:
Practice Address - City:PARK FALLS
Practice Address - State:WI
Practice Address - Zip Code:54552-1467
Practice Address - Country:US
Practice Address - Phone:715-762-7470
Practice Address - Fax:715-762-3602
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4270-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI001386040OtherMEDICARE NUMBER
WI41054500Medicaid
ILK52862Medicare PIN
WI001386040OtherMEDICARE NUMBER