Individual
MALLORY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 DONALDSON RD, TREMONT, PA 17981-1424
(570) 695-3439
(570) 695-2264
Mailing address
116 E CENTER ST, DONALDSON, PA 17981-1206
(570) 640-1010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007220
PA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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