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Individual

LESLIE ANN MALAVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
S74W16775 JANESVILLE RD STE 120, MUSKEGO, WI 53150-7742
(414) 422-2191
(414) 422-2193
Mailing address
PO BOX 328, MUSKEGO, WI 53150-0328
(414) 803-8680

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
429-19
WI

Other

Enumeration date
04/15/2020
Last updated
04/15/2020
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