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Organization
TRACY L MALAN RPT APC
Active
Organization
TRACY L MALAN RPT APC
Active
Other names
Chaparral Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L MALAN PT (OWNER / CEO)
(760) 256-1888
Entity
Organization
Contact information
Practice address
525 MELISSA AVE, STE B, BARSTOW, CA 92311-3002
(760) 256-1888
(760) 256-2893
Mailing address
525 MELISSA AVE, STE B, BARSTOW, CA 92311-3002
(760) 256-1888
(760) 256-2893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12940
CA
Other
Enumeration date
07/13/2006
Last updated
06/23/2008
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