Individual
HEATHER MALPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NAMEKAGON ST, APT 102, HUDSON, WI 54016-2209
(715) 688-2506
(715) 688-2505
Mailing address
1400 NAMEKAGON ST, APT 102, HUDSON, WI 54016-2209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11595-24
WI
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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