Individual provider · Type 1 NPI

Kelly Malloy

Pediatric Physical Therapist · Chicago, IL

NPI number 1881088573 Active

Practice location

811 W Evergreen Ave, Suite 306
Chicago, IL 60642-2682

Call (312) 242-1665 Map

Mailing address

10016 Olcott Ave
St. John, IN 46373-9547

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070021220 (IL)

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 1881088573

Kelly Malloy's National Provider Identifier is 1881088573, issued on Mar 20, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Chicago, IL. The record was last updated on Mar 20, 2015.