Individual
MALLORY KAY KROGMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
420 N UNIVERSITY, MURFREESBORO, TN 37130
(615) 893-2602
(615) 890-1224
Mailing address
2006 MADISON SQ BLVD, LA VERGNE, TN 37086
(615) 478-4789
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1575
TN
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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