Individual
JENNIFER MALUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1338 NULL RD, LINCOLNTON, NC 28092-7126
(773) 941-2682
Mailing address
1338 NULL RD, LINCOLNTON, NC 28092-7126
(773) 941-2682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7862
NC
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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