Individual
MALLORY NOEL MACLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4640 WEDGEWOOD BLVD STE 101-105, FREDERICK, MD 21703-7114
(240) 457-9558
Mailing address
2340 FAIRMOUNT RD, HAMPSTEAD, MD 21074-1325
(443) 974-1811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10386
MD
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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