Flavia Lidia Mallette LPTA

NPI 1659569127 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1659569127
Gender Female
Enumeration Date 10/10/2007
Last Updated 10/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1601 PURDUE DR
FAYETTEVILLE NC, 28304-3674, US
Phone (910) 672-0061
Fax (910) 672-0061
Business Location
1601 PURDUE DR
FAYETTEVILLE NC, 28304-3674, US
Phone (910) 672-0061
Fax (910) 672-0061
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number 1890
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According to our database, Flavia Lidia Mallette LPTA NPI is 1659569127, taxonomy code is 225200000X and license number is 1890, license state is located at North Carolina. Flavia Lidia Mallette LPTA physically located at 1601 Purdue Dr, Fayetteville NC, 28304-3674. NPI Number Flavia Lidia Mallette LPTA has the Individual type.

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1659569127 NPI number is provided on an as is basis without warranty of any kind. 1659569127 is maintained by the National Plan & Provider Enumeration System. The contents of Flavia Lidia Mallette LPTA are for informational purposes only.