| Doctor Name: | MARTIN SAMILLANO MALALUAN |
| NPI Number: | 1427003250 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 40QA01144000 |
| Business Practice Address: | 205 Robin Rd Suite 118 Paramus, NJ - 076521449 |
| Business Phone Number: | 2012251511 |
| Business Fax Number: | 2012259731 |
| Mailing Address: | 730 Palisade Ave, First Floor TEANECK |
| State: | NJ |
| Postal Code: | 076663144 |
| Phone Number: | 2016929699 |
| Fax Number: | 2016929699 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 01/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01144000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |