MR. Jacob Russell Malone, OTR/L

NPI #1326292749 in Astoria, New York

Provider Information

NPI Number
1326292749
Entity Type
Individual
Name
MR. Jacob Russell Malone, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Nov 12, 2008
Last Updated
Nov 12, 2008

Practice Location

Address
3206 47TH ST APT 4K
ZIP Code
11103-1741
Phone
(337) 781-2251

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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