Kateasta Nicole Malloy, PTA
NPI #1669294948 in Fort Ashby, West Virginia
Provider Information
- NPI Number
- 1669294948
- Entity Type
- Individual
- Name
- Kateasta Nicole Malloy, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 29, 2024
- Last Updated
- Oct 29, 2024
Practice Location
- Address
- 95 COLONIAL HEIGHTS DR
- City
- Fort Ashby
- State
- West Virginia
- ZIP Code
- 26719-6962
- Phone
- (301) 876-8087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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