Basic Information
| Provider Information | |||||||||
| NPI: | 1528066412 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MALINOWSKI | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 56 EMBER LN | ||||||||
| Address2: | |||||||||
| City: | HORSHAM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190441951 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154440197 | ||||||||
| FaxNumber: | 2156295531 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 ALMSHOUSE RD | ||||||||
| Address2: | |||||||||
| City: | RICHBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189541108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153572000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2005 | ||||||||
| LastUpdateDate: | 11/06/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT010609L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 12299099 | 01 | MULTIPLAN | OTHER | 232667866008 | 01 | TRICARE | OTHER |