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Individual

AMANDA L MALLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1207 LIBERTY RD, SUITE 106, ELDERSBURG, MD 21784-6574
(410) 549-5700
(410) 549-6200
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24267
MD

Other

Enumeration date
11/28/2012
Last updated
01/22/2019
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