# JACK MALAFRONTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194209205
- **Gender:** Man
- **Credential:** PT, DPT, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | 36267 | FL | — |
| 2251S0007X | Sports Physical Therapist | PTL27656 | MA | Yes |
| 2255A2300X | Athletic Trainer | 6080 | FL | — |
| 2255A2300X | Athletic Trainer | ATL3113 | MA | — |

## Other

- **Enumeration date:** 09/25/2018
- **Last updated:** 07/31/2025