Individual
ELIZABETH MARIE MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2990 CAHILL LANE, FITCHBURG, WI 53711
(608) 204-6083
Mailing address
4012 HIAWATHA DR, MADISON, WI 53711-3038
(608) 444-8282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11576-024
WI
Other
Enumeration date
11/04/2010
Last updated
12/09/2019
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