Victoria Mallow, is a
Clinic/center - Physical Therapy based in Boca Raton, Florida. Victoria Mallow is licensed to practice in * (Not Available) (license number ) and her current practice location is
301 E Yamato Rd, Boca Raton, Florida. She can be reached at her office (for appointments etc.) via phone at
(914) 447-1792.
NPI number for Victoria Mallow is 1225405996 and her current mailing address is 7641 Ne Morningside Ter, Boca Raton, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225405996.
Healthcare Provider's Profile
| Full Name | Victoria Mallow |
|---|
| Gender | Female |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 301 E Yamato Rd, Boca Raton, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225405996
- Provider Enumeration Date: 08/28/2015
- Last Update Date: 10/30/2020
Medical Identifiers
Medical identifiers for Victoria Mallow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225405996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 25595 (Maryland) | Secondary |
| 225100000X | Physical Therapist | PT34799 (Florida) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victoria Mallow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Victoria Mallow,
7641 Ne Morningside Ter,
Boca Raton, FL 33487-1726
Ph: () - | Victoria Mallow,
301 E Yamato Rd,
Boca Raton, FL 33431-4917
Ph: (914) 447-1792 |
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