Individual
MRS. ELIZABETH MALANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 321-2255
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 321-2255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10272-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254552
—
WI
Enumeration date
10/05/2016
Last updated
11/07/2023
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