Individual
MR. DAVID JOSEPH MALLONEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
3007 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5131
(541) 994-6252
Mailing address
4762 SE 51ST ST, LINCOLN CITY, OR 97367-1442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4141
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231416
OMAP
OR
Enumeration date
06/12/2006
Last updated
07/08/2007
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