MRS. KELLY MALMQUIST, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1609922665
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 1321019 (WI) |
Frequently Asked Questions
NPI 1609922665 is the National Provider Identifier for MRS. KELLY MALMQUIST, PTA, a Physical Therapy Assistant provider located in Green Bay, WI. This NPI was enumerated on January 25, 2007.
MRS. KELLY MALMQUIST, PTA practices at 1040 PILGRIM WAY, Green Bay, WI 54304.
Quick Facts
- NPI
- 1609922665
- Type
- Individual
- Enumerated
- Jan 25, 2007
- Last Updated
- Apr 23, 2012
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