Individual
JENNIFER MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1401 LINCOLN WAY, COEUR D ALENE, ID 83814-2334
(208) 676-1424
Mailing address
2400 NW MYHRE RD, STE 101, SILVERDALE, WA 98383
(360) 598-3764
(360) 598-3282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1627
ID
Other
Enumeration date
05/20/2006
Last updated
06/16/2021
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