Individual
MATTHEW PATRICK MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
(360) 452-9206
Mailing address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
(360) 452-9206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160739269
WA
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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