| NPI | 1174077663 |
|---|---|
| Former Name | MALLORY G MCGOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT291643) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2023-09-25 |