MEDICARE: MS. NING MALABANAN P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	225100000X	Physical Therapist	032212	NY

General Provider Information

NPI Number	:	1053687269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NING MALABANAN P.T

Provider Business Mailing Address
First Line	:	4918 MILAM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-6216
Country	:	US
Telephone Number	:	832-855-2504
Fax Number	:	713-807-1141

Provider Business Practice Location Address
First Line	:	4918 MILAM ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-6216
Country	:	US
Telephone Number	:	832-855-2504
Fax Number	:	713-807-1141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	10/18/2022

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Directions to “ MS. NING MALABANAN P.T” Practice Location

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