Individual
MR. PAUL ANTHONY MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2954 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 424-0131
(505) 424-1299
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3289
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N4536
—
NM
Enumeration date
08/29/2006
Last updated
03/13/2024
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