Individual
MRS. AMY LYNNE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
11010 DAVID ST, GULFPORT, MS 39503-3481
(228) 832-8327
(228) 832-8328
Mailing address
PO BOX 5776, VANCLEAVE, MS 39565-5776
(228) 826-1696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3406
MS
225100000X
Physical Therapist
PTH3835
AL
Other
Enumeration date
01/30/2007
Last updated
04/19/2021
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