Individual
LEEANN MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1464 MADERA RD UNIT I-1, SIMI VALLEY, CA 93065-3077
(805) 306-1622
Mailing address
16248 LOS ALIMOS ST, GRANADA HILLS, CA 91344-5305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51116
CA
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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