MATTHEW DAVID MALLORY

GRANDVILLE, MI
NPI1659835825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  11564)
Enumeration Date2019-01-22
Last Update Date2021-08-02
Business Address
Dr. MATTHEW DAVID MALLORY DPT
5570 WILSON AVE SW SUITE A
GRANDVILLE, MI 49418
Phone number: 616-855-1495
Mailing Address
Dr. MATTHEW DAVID MALLORY DPT
PO BOX 30516 DEPT 5300
LANSING, MI 48909
Phone number: 386-453-5225
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