Individual
MELISSA ANN MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
107 PERPETUAL SQ, ANDERSON, SC 29621-1713
(864) 342-9275
Mailing address
107 PERPETUAL SQ, ANDERSON, SC 29621-1713
(864) 342-9275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7937
SC
225100000X
Physical Therapist
PT30655
FL
Other
Enumeration date
08/19/2015
Last updated
10/13/2015
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