Individual
MALCOLM MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7253 S 76TH ST, FRANKLIN, WI 53132-9041
(414) 425-9700
(414) 425-9701
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(616) 356-5000
(616) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP049267T
WI
Other
Enumeration date
12/01/2022
Last updated
10/27/2025
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