Individual
MALLORY LYNN HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
702 OAKWOOD DR, ANOKA, MN 55303-2816
(612) 968-6574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5693
MN
Other
Enumeration date
01/20/2019
Last updated
04/08/2020
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