Mallat, Bobbie J

Mallat, Bobbie J is an individual health care provider with primary practice located at 705 E Taylor St , Prairie Du Chien WI 53821-2110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mallat, Bobbie J can be contacted via phone (608) 357-2000.

Contact Information

Primary practice address
705 E Taylor St Prairie Du Chien WI 53821-2110
Phone: (608) 357-2000
Fax: (608) 357-2254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 349019 Wisconsin

Profile Details

NPI number 1831249366
LBN Legal business name Mallat, Bobbie J
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831249366 NPPES
Wisconsin MEDICAID 40369600

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