Individual
MARIAN MALMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1250 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5385
(772) 618-3030
Mailing address
1250 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5385
(772) 618-3030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27823
FL
Other
Enumeration date
07/30/2017
Last updated
07/21/2022
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