IndividualActive
Elaine Mallette, BS
NPI 1619139573 · Developmental Therapist · Jacksonville, NC
Provider details
- NPI number
- 1619139573
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 222Q00000X (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
200 Carmen Ave
Apt. 1816
Jacksonville, NC 28540-5070
Phone: (910) 459-9451
Fax: (910) 333-1975
Approximate (ZIP-level) locationGet directions
Mailing address
200 Carmen Ave
Jacksonville, NC 28540-5070
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2008-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.