Individual
KELLY JO MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 STATE ST STE 10, HARBOR SPRINGS, MI 49740-1166
(231) 242-4473
Mailing address
5546 HOYT RD, HARBOR SPRINGS, MI 49740-9351
(231) 357-6541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003550
MI
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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