Individual
MRS. MALLORY J WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 S 21ST ST UNIT 130, COLORADO SPRINGS, CO 80904-3763
(719) 634-1110
(719) 634-1112
Mailing address
600 S 21ST ST UNIT 130, COLORADO SPRINGS, CO 80904-3763
(719) 634-1110
(719) 634-1112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0016942
CO
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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