Malmquist, Joanna Rae

Malmquist, Joanna Rae is an individual health care provider with primary practice located at 112 Heatherview Dr , East Peoria IL 61611-4889. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Malmquist, Joanna Rae can be contacted via phone (309) 360-0707.

Contact Information

Primary practice address
112 Heatherview Dr East Peoria IL 61611-4889
Phone: (309) 360-0707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1457798746
LBN Legal business name Malmquist, Joanna Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2013
Last updated May 28th, 2013 - about 11 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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