Individual
MALLORY H MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 FORT ST, TRENTON, MI 48183-2003
(734) 304-4159
Mailing address
1660 FORT ST, TRENTON, MI 48183-2003
(734) 304-4159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008737
MI
Other
Enumeration date
08/16/2021
Last updated
02/14/2025
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