Individual
MARY C MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2318 W 20TH AVE, EUGENE, OR 97405-1360
(541) 554-7848
Mailing address
2318 W 20TH AVE, EUGENE, OR 97405-1360
(541) 554-7848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1038994
OR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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