Individual
CHAD MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2280 OPITZ BLVD, SUITE 120, WOODBRIDGE, VA 22191-3362
(703) 580-5160
(703) 580-6880
Mailing address
9900 MAIN ST, SUITE 200A, FAIRFAX, VA 22031-3907
(703) 279-4360
(703) 279-4214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205537
VA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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