Individual
SHARON D MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5307 E 61ST AVE, HOBART, IN 46342-6532
(219) 712-0856
Mailing address
5307 E 61ST AVE, HOBART, IN 46342-6532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002037A
IN
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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