Individual
MR. JOHN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.O.T., B.S.,OTR/L
Contact information
Practice address
44 PINE ST, TINTON FALLS, NJ 07753-7710
(732) 918-1960
Mailing address
401 CENTRAL BLVD E, BRICK, NJ 08724-2007
(732) 202-1285
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR00292500
NJ
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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