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Individual

AMY MALONE-PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7320 SW HUNZIGER, SUITE 203, TIGARD, OR 97223
(888) 317-1019
Mailing address
7320 SW HUNZIGER, SUITE 203, TIGARD, OR 97223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04590
OR

Other

Enumeration date
04/10/2015
Last updated
04/10/2015
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