JACOB RUSSELL MALONE

ASTORIA, NY
NPI1326292749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  015451)
Enumeration Date2008-11-12
Last Update Date2008-11-12
Business Address
Mr. JACOB RUSSELL MALONE OTR/L
3206 47TH ST APT 4K
ASTORIA, NY 11103-1741
Phone number: 337-781-2251
Mailing Address
Mr. JACOB RUSSELL MALONE OTR/L
3206 47TH ST APT 4K
ASTORIA, NY 11103-1741
Phone number:
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