| Organization Name: | MAILLY CONSULTING INC |
| NPI Number: | 1659443786 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEN MAILLY (PRESIDENT) |
| Mailing Address: | 68 Seneca Trl Wayne |
| State: | NJ US |
| Postal Code: | 074704427 |
| Phone Number: | 9736920033 |
| Fax Number: | 9736339557 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 08/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00335900 |
| 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 |