Mr. Roland Feliciano Mallare
Mr. Roland Feliciano Mallare is a Physical Therapy Assistant in Paxton, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1001 E Pells StPaxton, IL 60957-1300
Phone: (217) 379-4361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160.005217 (IL) |
|---|---|
| Physical Therapy Assistant | Taxonomy 225200000X · Licence 160005217 (IL) |
Record details
| NPI number | 1235466350 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 10, 2009 |
| Last updated in NPPES | April 16, 2015 |
Other providers in Paxton
-
Kimberly Marshall, PTA
616 N American St, Paxton, IL 60957-1010 · (217) 379-9110