Individual
TRACY MALINICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
450 S SPRUCE ST, LITITZ, PA 17543-2621
(717) 625-0026
Mailing address
450 S SPRUCE ST, LITITZ, PA 17543-2621
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
764481
PA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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