Individual
MR. DAVID MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
103 S. 7TH STREET, DENTON, MD 21629
(410) 822-4613
(410) 822-6534
Mailing address
25324 SUNSET AVE, GREENSBORO, MD 21639
(410) 479-0470
(410) 479-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15665
MD
225100000X
Physical Therapist
J10000580
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000220726
—
DE
05
—
435138000
—
MD
Enumeration date
11/20/2006
Last updated
11/29/2018
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