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Individual
TRICIA LYNN MALONE
Active
Individual
TRICIA LYNN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18973
MA
2251X0800X
Orthopedic Physical Therapist
PT 30395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171680700
US DEPT OF LABOR
CA
01
—
ZZZ59255Z
BLUE SHIELD
CA
Enumeration date
10/24/2006
Last updated
04/07/2011
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