| NPI | 1770253460 |
|---|---|
| Other Name | MOIRA GRACE MALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20922) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047708) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-02-15 |