Individual
TAYLOR MALINOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 WHEAT STREET, COLUMBIA, SC 29208-0001
(470) 388-4095
Mailing address
1050 SOUTHERN DR APT 1228, COLUMBIA, SC 29201-5640
(470) 388-4095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
11/09/2023
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