Provider Demographics
NPI:1851337018
Name:MALONE, HELEN (MED, ATC, CSCS)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:MALONE
Suffix:
Gender:F
Credentials:MED, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 RICHARDS AVE
Mailing Address - Street 2:#305
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-1652
Mailing Address - Country:US
Mailing Address - Phone:508-316-1541
Mailing Address - Fax:
Practice Address - Street 1:250 EAST ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2526
Practice Address - Country:US
Practice Address - Phone:508-261-7540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1315174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist