Individual
MRS. JORDAN L. K. MALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
603 S GILLETTE AVE, GILLETTE, WY 82716-4205
(307) 682-2500
(307) 939-7080
Mailing address
603 S GILLETTE AVE, GILLETTE, WY 82716-4205
(307) 682-2500
(307) 939-7080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1436
WY
Other
Enumeration date
10/15/2012
Last updated
07/28/2020
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