Doctor Name: | LORALIE DIMACALI MALONZO |
NPI Number: | 1184953960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070.016201 |
Business Practice Address: | 1920 Old Springville Rd Suite 104 Birmingham, AL - 35215 |
Business Phone Number: | 8008544589 |
Business Fax Number: | 2055200455 |
Mailing Address: | 1920 Old Springville Road, Suite 104 BIRMINGHAM |
State: | AL |
Postal Code: | 35215 |
Phone Number: | 2055209600 |
Fax Number: | 2055200455 |
NPI Enumeration Date: | 12/08/2009 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.016201 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |