Provider Demographics
NPI:1659673192
Name:MALLON, FRANCIS JOSEPH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:MALLON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410B STAGNER AVE
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-1540
Mailing Address - Country:US
Mailing Address - Phone:215-343-9400
Mailing Address - Fax:215-343-4401
Practice Address - Street 1:2410B STAGNER AVE
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1540
Practice Address - Country:US
Practice Address - Phone:215-343-9400
Practice Address - Fax:215-343-4401
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020551225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist