Individual
MALLORY SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HORIZON DR STE 310, RALEIGH, NC 27615-4926
(989) 838-7100
Mailing address
120 W CENTER ST, SANFORD, MI 48657-9556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202009898
MI
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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