Individual
JOSHUA LUCAS MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 W RAILROAD AVE N, CRYSTAL SPRINGS, MS 39059-2154
(601) 892-8707
Mailing address
147 LINKS DR, 38J, CANTON, MS 39046-5213
(931) 472-9908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5628
MS
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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