Individual
MAILYN SANCHEZ MALABANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 ELM STREET, ROSELLE PARK, NJ 07204
(908) 241-3255
Mailing address
820 ELM STREET, ROSELLE PARK, NJ 07204
(908) 241-3255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00208700
NJ
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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