Most Relevant Information
Provider Data
| NPI Number: | 1003463837 |
| Provider Name: | MARILYN MALONE |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | AT1709 |
Most Important Dates
| Enumeration Date: | 08/26/2019 |
| Last Updated: | 08/26/2019 |
Provider Practice Location
3025 HIGH ST
OAKLAND
CA
946191807
Practice Location Phone/Fax
| Phone: | 5102615200 |
| Fax: |
Provider Mailing Location
2873 LINCOLN AVE
RICHMOND
CA
948041323
Provider Mailing Phone/Fax
| Phone: | 5104992051 |
| Fax: |