Mallory, Sally Sue
Mallory, Sally Sue is an sole proprietor health care provider with primary practice located at 4020 Bobbin Ln , Addison TX 75001-3103. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mallory, Sally Sue can be contacted via phone (214) 763-9173.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1021103 | Texas |
Profile Details
| NPI number | 1134316102 |
|---|---|
| LBN Legal business name | Mallory, Sally Sue |
| Credentials | P.T; ATP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Feb 20th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134316102 | NPPES |
| Texas | MEDICAID | 247200000X |
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