Individual
CHRISTINE M MALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
425 DROZDYK DR, GROTON, CT 06340-4248
(860) 333-1959
(860) 333-1960
Mailing address
425 DROZDYK DRIVE, GROTON, CT 06340
(860) 333-1959
(860) 333-1960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006281
CT
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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