Individual
JOSEPH BENEDICT MALABANAN MARALIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
655 MOLLY LN, SUITE 100, WOODSTOCK, GA 30189-6503
(770) 517-1080
(770) 517-1083
Mailing address
3180 TINA LN, MARIETTA, GA 30066-4312
(770) 517-1080
(770) 517-1083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009426
GA
Other
Enumeration date
06/25/2009
Last updated
06/26/2009
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