NPI 1003435462

Leslie Ann Malavsky, PTA

Practitioner Physical Therapy Assistant Muskego, WI

Practice location

Address: S74w16775 Janesville Rd STE 120, Muskego, WI 53150-7742
Phone: (414) 422-2191
Fax: (414) 422-2193
Mailing address: PO Box 328, Muskego, WI 53150-0328

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 429-19 (WI)

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Registry record

NPI: 1003435462
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2020
Record last updated: 15 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.