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Philip Malloy, LPT

Physical Therapist in Pottsville, PA. Individual provider (NPI-1).

NPI number1477542298
StatusActive
Last updated in NPPESDec 23, 2011

Details

NPI
1477542298
Entity type
Individual (NPI-1)
Name
Philip Malloy
Credential
LPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 14, 2005
Last updated
Dec 23, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT003353LPAYes

Practice location

2655 Woodglen Rd
Pottsville, PA 17901-1335

Phone 570-622-6648 · Fax 570-628-4709

Mailing address

2655 Woodglen Rd
Pottsville, PA 17901-1335

Phone 570-622-6648 · Fax 570-628-4709

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