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MALLORY V PEDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
960 COMMONWEALTH BLVD, TUPELO, MS 38804-9762
(662) 260-3789
(662) 260-3790
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2188
(717) 565-1104

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PT3794
MS

Other

Enumeration date
07/20/2020
Last updated
08/30/2023
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