Mallow Fay McKusick, PT
Physical Therapist in Tucson, AZ. Individual provider (NPI-1).
NPI number1699112615
StatusActive
Last updated in NPPESMay 31, 2013
Details
- NPI
- 1699112615
- Entity type
- Individual (NPI-1)
- Name
- Mallow Fay McKusick
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2013
- Last updated
- May 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10310 | AZ | Yes |
Practice location
4600 S Park Ave Ste 5Tucson, AZ 85714-1697
Phone 520-889-9574
Mailing address
4600 S Park Ave Ste 5Tucson, AZ 85714-1697
Phone 520-889-9574
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