Individual
MR. PHILLIP MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
69 MAIN ST, PETERBOROUGH, NH 03458-2419
(503) 395-8522
Mailing address
69 MAIN ST, PETERBOROUGH, NH 03458-2419
(503) 395-8522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19668
OR
Other
Enumeration date
07/18/2013
Last updated
07/20/2016
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