Regina Marie Malloy, PT

NPI #1417446188 in La Quinta, California

Provider Information

NPI Number: 1417446188
Entity Type: Individual
Name: Regina Marie Malloy, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 53370 AVENIDA MENDOZA
City: La Quinta
State: California
ZIP Code: 92253-5403
Phone: (760) 895-5145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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