MR. Kenneth Howard Mailly, P.T.

NPI #1275522336 in Wayne, New Jersey

Provider Information

NPI Number: 1275522336
Entity Type: Individual
Name: MR. Kenneth Howard Mailly, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 20, 2005
Last Updated: Aug 4, 2008

Practice Location

Address: 68 SENECA TRL
City: Wayne
State: New Jersey
ZIP Code: 07470-4427
Phone: (973) 692-0033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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