Individual
KATELYN E MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 PATIENT CARE DR STE 117, LANSING, MI 48911-4279
(517) 325-0996
Mailing address
3960 PATIENT CARE DR STE 117, LANSING, MI 48911-4279
(734) 743-2909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/16/2019
Last updated
02/18/2026
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