Individual provider · Type 1 NPI

Mallory Wyble, DPT

Pediatric Physical Therapist · Pearland, TX

NPI number 1306328547 Active

Practice location

2011 Broadway St Ste 130
Pearland, TX 77581-5945

Mailing address

2418 Gem Oak
San Antonio, TX 78232-2647

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1266690 (TX)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1306328547

Mallory Wyble, DPT's National Provider Identifier is 1306328547, issued on Sep 4, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Pearland, TX. The record was last updated on Sep 4, 2018.