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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROME CARLOS MALIMBAN, PT, DPT

Active Sole Proprietor

JEROME CARLOS MALIMBAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in HOLLOMAN AFB, New Mexico. NPI 1174049472 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HOLLOMAN AFB, NM

Registration Details

NPI Number
1174049472
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2017 (8.8134252881415 yrs)
Last Updated
Oct 2, 2023
License
293742 (CA)
Sole Proprietor
Yes

Practice Information

Address
280 1ST ST
HOLLOMAN AFB, NM, 883308273
Browse NM providers · Browse ZIP 88330
Phone
5755720899
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HOLLOMAN AFB, NM

Name Credential NPI
GARRET ANTHONY WADSACK PT 1033241922
ANDREW SMIETANA DPT 1649629338
JESSICA PAGANO DPT 1851806145
LEVI JOHNSON 1225537228
MRS. SARAH BANISTER DPT 1376104141
KAITLYN M SHAUGHNESSY DPT 1255983417
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.