Individual
MRS. JESSICA KATHERINE MALOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1030 CENTRE AVE, STE B, FORT COLLINS, CO 80526-1849
(140) 654-2307
Mailing address
1030 CENTRE AVE, STE B, FORT COLLINS, CO 80526-1849
(140) 654-2307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2171PT
MT
2251N0400X
Neurology Physical Therapist
Primary
0012895
CO
Other
Enumeration date
09/19/2008
Last updated
04/04/2016
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