Individual
BRIAN PATRICK MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, ATC
Contact information
Practice address
751 E 36TH AVE, SUITES 100 & 101, ANCHORAGE, AK 99503-4141
(907) 563-2122
(907) 563-2133
Mailing address
751 E 36TH AVE, SUITES 100 & 101, ANCHORAGE, AK 99503-4141
(907) 563-2122
(907) 563-2133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2113
AK
225100000X
Physical Therapist
2632
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39995
BLUECROSS BLUESHIELD
NE
01
—
P00677677
MEDICARE RAILROAD
NE
Enumeration date
05/23/2007
Last updated
03/24/2010
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