Individual
JOHN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
185 WOODY CIRCLE, TRYON, NC 28782
(828) 894-0476
(828) 894-6588
Mailing address
185 WOODY CIRCLE, TRYON, NC 28782
(828) 894-0476
(828) 894-6588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301806
—
NC
Enumeration date
09/14/2006
Last updated
07/08/2007
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