Individual
SARAH ELAINE MALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1029 NICHOLS RD STE A, OSAGE BEACH, MO 65065-3702
(573) 302-2860
Mailing address
9436 STATE HWY A, MONTREAL, MO 65591
(573) 480-9314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023045192
MO
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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