Individual
MARIAH DEVALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 830-6877
Mailing address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15881
WI
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/26/2022
Last updated
03/10/2023
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