Individual
AMBER MALLONEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1777 SENTRY PKWY W STE 203, BLUE BELL, PA 19422-2227
(610) 227-1100
(215) 646-1900
Mailing address
4370 FLEMING ST, PHILADELPHIA, PA 19128-4826
(610) 506-4997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009054
PA
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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