MEDICARE: MALAWEY PHYSICAL THERAPY

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	PT20832	CA

General Provider Information

NPI Number	:	1508914037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALAWEY PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	17010 MATINAL RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-1452
Country	:	US
Telephone Number	:	760-715-4789
Fax Number	:	858-675-2265

Provider Business Practice Location Address
First Line	:	16885 W BERNARDO DR
Second Line	:	SUITE 380A
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-1618
Country	:	US
Telephone Number	:	760-715-4789
Fax Number	:	858-675-2265

Authorized Official
Title or Position	:	CFO SECRETARY
Name	:	MRS. CYNTHIA M MALAWEY
Credential	:	PT
Telephone Number	:	760-715-4789

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	08/22/2020

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