Organization
MALLOY HOLDINGS, LLC
Active
Other names
Brookfield Phyiscal Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE NICOLE MALLOY DPT (OWNER, PHYSICAL THERAPIST)
(660) 258-8645
Entity
Organization
Contact information
Practice address
122 N MAIN ST, BROOKFIELD, MO 64628-1643
(660) 258-7892
Mailing address
PO BOX 13, BROOKFIELD, MO 64628-0013
(660) 258-7892
(660) 258-9829
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2010024372
MO
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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