Joanna Rae Malmquist

NPI #1457798746 in East Peoria, Illinois

Provider Information

NPI Number: 1457798746
Entity Type: Individual
Name: Joanna Rae Malmquist
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: May 28, 2013
Last Updated: May 28, 2013

Practice Location

Address: 112 HEATHERVIEW DR
City: East Peoria
State: Illinois
ZIP Code: 61611-4889
Phone: (309) 360-0707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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