Organization
A. MALASKA, PT, PC
Active
Organization
A. MALASKA, PT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA WILSON MALASKA PT (PRESIDENT)
(405) 245-0625
Entity
Organization
Contact information
Practice address
9604 PHEASANT LN, OKLAHOMA CITY, OK 73162-6423
(405) 245-0625
Mailing address
9604 PHEASANT LN, OKLAHOMA CITY, OK 73162-6423
(405) 245-0625
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT2541
OK
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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