Individual
MALLORY M PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10239 CLEMSON BLVD STE 340, SENECA, SC 29678-0867
(864) 886-0007
Mailing address
1007 GROVE RD STE C, GREENVILLE, SC 29605-4630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11310
SC
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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