Individual
MALLORY CROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
6800 NW 39TH EXPRESSWAAY, BETHANY, OK 73008
(405) 440-9866
(405) 440-6747
Mailing address
6800 NW 39TH EXPRESSWAAY, BETHANY, OK 73008
(405) 440-9866
(405) 440-6747
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1726
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428880A
—
OK
Enumeration date
05/10/2012
Last updated
10/19/2015
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