Individual
LORALIE DIMACALI MALONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.016201
IL
225100000X
Physical Therapist
Primary
2009032715
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WW0042880
PHILIPPINE PASSPORT NUMBER
—
Enumeration date
12/08/2009
Last updated
12/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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