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Individual

TRACY S MALIKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
520 11TH ST NE, APT. 26, EAST WENATCHEE, WA 98802-4285
(917) 257-6889
Mailing address
520 11TH ST NE, APT. 26, EAST WENATCHEE, WA 98802-4285
(917) 257-6889

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60107613
WA

Other

Enumeration date
10/17/2009
Last updated
10/17/2009
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