Individual
MALLORY MANGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10881 PARADISE RD, HENDERSON, NV 89052-8649
(207) 333-0249
Mailing address
10881 PARADISE RD, HENDERSON, NV 89052-8649
(207) 333-0249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110152
NV
Other
Enumeration date
04/28/2014
Last updated
07/15/2019
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