Individual
BRIAN MATTHEW MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
20801 N SCOTTSDALE RD STE 105, SCOTTSDALE, AZ 85255-6487
(623) 208-7575
Mailing address
13009 W LISBON LN, EL MIRAGE, AZ 85335-3402
(406) 880-5437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPT-31640
PHYSICAL THERAPY BOARD
AZ
Enumeration date
05/24/2021
Last updated
05/24/2021
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