Individual
VICTORIA MALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E YAMATO RD, BOCA RATON, FL 33431-4917
(914) 447-1792
Mailing address
7641 NE MORNINGSIDE TER, BOCA RATON, FL 33487-1726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25595
MD
225100000X
Physical Therapist
PT34799
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
10/30/2020
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