Victoria Jade Mallett

NPI #1407419450 in Midland, Texas

Provider Information

NPI Number: 1407419450
Entity Type: Individual
Name: Victoria Jade Mallett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 16, 2019
Last Updated: Apr 16, 2019

Practice Location

Address: 4304 ANDREWS HWY
City: Midland
State: Texas
ZIP Code: 79703-4824
Phone: (432) 520-3020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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