Individual
MALLORY LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 570-5477
Mailing address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 570-5477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13189-24
WI
Other
Enumeration date
08/27/2015
Last updated
01/20/2021
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