Doctor Name: | ALAN MALLORY |
NPI Number: | 1093069940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 38571 |
Business Practice Address: | 1801 Colorado Ave Suite 260 Turlock, CA - 953822706 |
Business Phone Number: | 2092163360 |
Business Fax Number: | 2092163365 |
Mailing Address: | 1768 Mitchell Rd, Suite 305 CERES |
State: | CA |
Postal Code: | 953072156 |
Phone Number: | 2095373900 |
Fax Number: | 2095373901 |
NPI Enumeration Date: | 10/30/2012 |
NPI Last Update Date: | 03/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 38571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |