Provider Demographics
NPI:1023045812
Name:MALONEY, PATRICK MICHAEL (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MICHAEL
Last Name:MALONEY
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7620 PLUM ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-4034
Mailing Address - Country:US
Mailing Address - Phone:504-481-5074
Mailing Address - Fax:
Practice Address - Street 1:6823 SAINT CHARLES AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5665
Practice Address - Country:US
Practice Address - Phone:504-862-8203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer