Individual
MS. MALIKAH MARYAM MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MTC
Contact information
Practice address
200 WELLMORE DR, LEXINGTON, SC 29072-9172
(803) 520-1200
Mailing address
1533 WALNUT VIEW DR, CHARLOTTE, NC 28208-4672
(919) 906-1262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9603
SC
225100000X
Physical Therapist
PT 25689
FL
Other
Enumeration date
07/20/2010
Last updated
06/14/2019
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