Individual
DR. BHAWNA MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
5364 PENWAY DR, ORLANDO, FL 32814-6714
(352) 874-7620
Mailing address
5364 PENWAY DR, ORLANDO, FL 32814-6714
(352) 874-7620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-6515
MEDICARE
FL
Enumeration date
11/14/2013
Last updated
01/04/2023
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