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Individual

DAWN A MALAJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
531 E WASHINGTON ST, WEST BEND, WI 53095-2531
(262) 335-4532
Mailing address
348 E RYAN RD, OAK CREEK, WI 53154-4535
(414) 899-8005

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4386-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40900000
WI
Enumeration date
04/21/2008
Last updated
02/09/2017
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