Individual
MALLORY WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
12234 COOPERS RUN, STRONGSVILLE, OH 44149-9238
(440) 572-2737
Mailing address
1689 EMPIRE RD, WICKLIFFE, OH 44092-1009
(440) 665-5812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011196
OH
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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