Jacob Russell Malone OTR/L

NPI 1326292749 - Occupational Therapist - 225X00000X

NPI Details
NPI 1326292749
Gender Male
Enumeration Date 11/12/2008
Last Updated 11/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3206 47TH ST APT 4K
ASTORIA NY, 11103-1741, US
Phone (337) 781-2251
Fax
Business Location
3206 47TH ST APT 4K
ASTORIA NY, 11103-1741, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New York
License Number 015451
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According to our database, Mr. Jacob Russell Malone OTR/L NPI is 1326292749, taxonomy code is 225X00000X and license number is 015451, license state is located at New York. Jacob Russell Malone OTR/L physically located at 3206 47th St Apt 4k, Astoria NY, 11103-1741. NPI Number Jacob Russell Malone OTR/L has the Individual type.

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1326292749 NPI number is provided on an as is basis without warranty of any kind. 1326292749 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Russell Malone OTR/L are for informational purposes only.