Individual
KAYLA MALMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9 BROAD ST, GLENS FALLS, NY 12801-4301
(518) 409-4288
Mailing address
34 HASKELL AVE, GLENS FALLS, NY 12801-3811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009483-1
NY
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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