MR. Jared Clark Mallory, P.T.
NPI #1679896534 in Port Arthur, Texas
Provider Information
- NPI Number
- 1679896534
- Entity Type
- Individual
- Name
- MR. Jared Clark Mallory, P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Mar 8, 2010
- Last Updated
- Mar 8, 2010
Practice Location
- Address
- 3398 25TH STREET
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77642
- Phone
- (409) 985-9365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Rehabilitation Practitioner |
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