BRENDA SUSAN MALLORY

BLOOMINGTON, IN
NPI1992707111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IN  01084397A)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: PA  MD440148)
208100000X Physical Medicine & Rehabilitation
(Licence: NY  191473-1)
Enumeration Date2005-06-01
Last Update Date2020-09-01
Business Address
Dr. BRENDA SUSAN MALLORY M.D.
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-6821
Mailing Address
Dr. BRENDA SUSAN MALLORY M.D.
PO BOX 858 MC A410
HERSHEY, PA 17033-0858
Phone number: 800-243-1455
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