Robert Mallory PT

NPI 1649341462 - Physical Therapist - 225100000X

NPI Details
NPI 1649341462
Gender Male
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4601 DALE ROAD
MODESTO CA, 95356, US
Phone (209) 735-4080
Fax
Business Location
1105 SPRINGCREEK DR
MODESTO CA, 95355-4820, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT20155
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According to our database, Robert Mallory PT NPI is 1649341462, taxonomy code is 225100000X and license number is PT20155, license state is located at California. Robert Mallory PT physically located at 4601 Dale Road, Modesto CA, 95356. NPI Number Robert Mallory PT has the Individual type.

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1649341462 NPI number is provided on an as is basis without warranty of any kind. 1649341462 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Mallory PT are for informational purposes only.