Individual
MALLORY MOIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
17706 INTERSTATE 30 N, SUITE 3, BENTON, AR 72019-2907
(501) 315-4414
Mailing address
3930 HIGHWAY 60 E, BIGELOW, AR 72016-5065
(501) 504-9131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2983
AR
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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