National Provider Identifier
Brooke Mallaber
Brooke Mallaber is listed in the NPPES registry with a primary specialty of Physical Therapist in Livonia, NY and a listed phone number of (585) 329-3716.
Profile Overview
- NPI
- 1528423449
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 18, 2015
- Last Updated
- June 11, 2019
Practice Location
- 113 Kensington Ct
- Livonia, NY 14487-9762
Phone: (585) 329-3716
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1528423449
- Entity Type
- Individual
- Last Name
- Mallaber
- First Name
- Brooke
- Mailing Street Address
- 113 Kensington Ct
- Mailing City
- Livonia
- Mailing State
- NY
- Mailing ZIP Code
- 14487-9762
- Mailing Country
- US
- Practice Street Address
- 113 Kensington Ct
- Practice City
- Livonia
- Practice State
- NY
- Practice ZIP Code
- 14487-9762
- Practice Country
- US
- Practice Phone
- (585) 329-3716
- Enumeration Date
- December 18, 2015
- Last Updated
- June 11, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)