Individual
ASHLEY M MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
6630 UNIVERSITY AVE, MIDDLETON, WI 53562-3036
(608) 263-8412
Mailing address
6630 UNIVERSITY AVE, MIDDLETON, WI 53562-3036
(608) 263-8412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11755-24
WI
Other
Enumeration date
11/15/2013
Last updated
01/20/2021
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