Jenna Mallory, PTA

NPI #1114272424 in Maywood, Illinois

Provider Information

NPI Number
1114272424
Entity Type
Individual
Name
Jenna Mallory, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jul 24, 2012
Last Updated
Jul 24, 2012

Practice Location

Address
2160 S 1ST AVE
ZIP Code
60153-3328
Phone
(630) 953-6778

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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