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1952360315
DIVYA MALLAR
BELLEVUE, WA
NPI
1952360315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00009837)
Enumeration Date
2006-03-22
Last Update Date
2017-03-24
Business Address
-- DIVYA MALLAR PT
1750 112TH AVE NE BLDG 4, STE E175
BELLEVUE, WA 98004-3752
Phone number: 425-289-0381
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Mailing Address
-- DIVYA MALLAR PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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