Most Relevant Information
Provider Data
| NPI Number: | 1003594680 |
| Provider Name: | MALLORY LAW PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT5900 |
Most Important Dates
| Enumeration Date: | 07/05/2023 |
| Last Updated: | 07/05/2023 |
Provider Practice Location
2579 CAMINO SAN PATRICIO
SANTA FE
NM
875055836
Practice Location Phone/Fax
| Phone: | 5052046082 |
| Fax: |
Provider Mailing Location
2579 CAMINO SAN PATRICIO
SANTA FE
NM
875055836
Provider Mailing Phone/Fax
| Phone: | 5052046082 |
| Fax: |