Individual
MRS. BOBBI MALLOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
117 TARBORO ST NE, WILSON, NC 27893-4016
(252) 399-7700
Mailing address
4011 LITTLE JOHN DR N, WILSON, NC 27896-8949
(252) 315-1337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2993
NC
Other
Enumeration date
10/27/2015
Last updated
03/10/2026
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