Provider Demographics
NPI:1891078929
Name:MALOSH, JANET SUE (DPT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:SUE
Last Name:MALOSH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14061 E 13 MILE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-5866
Mailing Address - Country:US
Mailing Address - Phone:586-294-7077
Mailing Address - Fax:586-294-7144
Practice Address - Street 1:14061 E 13 MILE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-5866
Practice Address - Country:US
Practice Address - Phone:586-294-7077
Practice Address - Fax:586-294-7144
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist