Individual
KEVIN MALLOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
540 GALLIVAN BLVD, DORCHESTER, MA 02124
(617) 282-1200
Mailing address
203 OAK ST, NATICK, MA 01760-1306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23148
MA
Other
Enumeration date
08/08/2017
Last updated
06/25/2018
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