KELLY J MALMQUIST

GREEN BAY, WI
NPI1609922665
Other NameKELLY JEAN ZAHL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1321019)
Enumeration Date2007-01-25
Last Update Date2012-04-23
Business Address
MRS. KELLY J MALMQUIST PTA
1040 PILGRIM WAY
GREEN BAY, WI 54304-5028
Phone number: 920-405-3522
Mailing Address
MRS. KELLY J MALMQUIST PTA
360 MARK COURT
NEENAH, WI 54956
Phone number: 920-209-0915