Individual
MS. KATHLEEN JUDE MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
20265 EMERY RD, NORTH RANDALL, OH 44128-4122
(216) 475-8880
Mailing address
3611 W 129TH ST, CLEVELAND, OH 44111-3415
(216) 941-1521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.006976
OH
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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