Mallory Kraft

NPI #1417472416 in Ponchatoula, Louisiana

Provider Information

NPI Number: 1417472416
Entity Type: Individual
Name: Mallory Kraft
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 10, 2017
Last Updated: Aug 10, 2017

Practice Location

Address: 132 S 6TH ST
City: Ponchatoula
State: Louisiana
ZIP Code: 70454-3317
Phone: (985) 386-6884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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