NPI 1669294948
Kateasta Nicole Malloy, PTA
Practice location
- Address
- 95 Colonial Heights Dr, Fort Ashby, WV 26719-6962
- Phone
- (301) 876-8087
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1669294948
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Oct 2024
- Record last updated
- 29 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.