Individual
MAIRA S. MARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 532-1471
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9827-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40385700
—
WI
01
—
P00734839
RR MEDICARE
WI
Enumeration date
06/08/2006
Last updated
10/07/2025
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