Organization
ANDREW MALLON PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MALLON PT, DPT, ATC, CSCS (PHYSICAL THERAPIST)
(856) 237-4703
Entity
Organization
Contact information
Practice address
931 ROUTE 73 S STE 5A, MARLTON, NJ 08053-9641
(856) 237-4703
Mailing address
273 FRONT ST, ATCO, NJ 08004-1958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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