Mallory Mae Leanna

NPI #1336510403 in Appleton, Wisconsin

Provider Information

NPI Number: 1336510403
Entity Type: Individual
Name: Mallory Mae Leanna
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 14, 2015
Last Updated: Nov 4, 2024

Practice Location

Address: 325 E FLORIDA AVE
City: Appleton
State: Wisconsin
ZIP Code: 54911-1325
Phone: (920) 731-7310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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