Provider Demographics
NPI:1417429721
Name:MALAFI, BETH ANN (PTA)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:MALAFI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 PEIFERS DRIVE
Mailing Address - Street 2:
Mailing Address - City:DORNSIFE
Mailing Address - State:PA
Mailing Address - Zip Code:17823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:146 PEIFERS DRIVE
Practice Address - Street 2:
Practice Address - City:DORNSIFE
Practice Address - State:PA
Practice Address - Zip Code:17823
Practice Address - Country:US
Practice Address - Phone:570-809-4945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant