Individual
MALLORY ROBICHAUX KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 W BASS ST, KISSIMMEE, FL 34741-5001
(321) 445-1287
Mailing address
314 W BASS ST, KISSIMMEE, FL 34741-5001
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
OT008640
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT25330
FL
Other
Enumeration date
09/29/2022
Last updated
06/25/2024
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