Individual
BROOKE MALLABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 KENSINGTON CT, LIVONIA, NY 14487-9762
(585) 329-3716
Mailing address
113 KENSINGTON CT, LIVONIA, NY 14487-9762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209670
NY
225100000X
Physical Therapist
294610
CA
Other
Enumeration date
12/18/2015
Last updated
06/11/2019
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