Individual
MALORY ZOGLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 968-0814
(920) 734-6159
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1116
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14435-24
WI
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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