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Mark Malyn, OT

Occupational Therapist in Charlottesville, VA. Individual provider (NPI-1).

NPI number1720219082
StatusActive
Last updated in NPPESAug 5, 2009

Details

NPI
1720219082
Entity type
Individual (NPI-1)
Name
Mark Malyn
Credential
OT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 5, 2009
Last updated
Aug 5, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist0119001055VAYes

Practice location

2005 Candlewyck Dr
Charlottesville, VA 22901-9426

Phone 434-979-0987

Mailing address

2005 Candlewyck Dr
Charlottesville, VA 22901-9426

Phone 434-979-0987

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