Individual
REBECCA L MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 BRYSON LN, MIDLOTHIAN, TX 76065-6110
(972) 333-9742
Mailing address
5220 SPRING VALLEY RD STE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216298
TX
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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