Individual
THOMAS J MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1350 HILLRISE CIR, LAS CRUCES, NM 88011-4759
(575) 522-9528
(575) 523-1108
Mailing address
1350 HILLRISE CIR, LAS CRUCES, NM 88011-4759
(575) 522-9528
(575) 523-1108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4860
NM
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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