Individual
MRS. CHERYL MONTE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1600 WESTWOOD AVE, RICHMOND, VA 23227-4622
(804) 474-1800
Mailing address
8936 HOLLOW OAK DR, MIDLOTHIAN, VA 23112-6871
(804) 639-4829
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000144
VA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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