Rustico Mallillin
Rustico Mallillin is a Physical Therapist in Bridgeton, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3446 McKelvey RdBridgeton, MO 63044-2525 Not confirmed with CMS for 19 years — call before visiting
Phone: (314) 298-0353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1487758769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 8, 2006 |
| Last updated in NPPES | July 8, 2007 |
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