Individual
MALLORY VARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2625 E SAINT LOUIS AVE, LAS VEGAS, NV 89104-4200
(303) 563-8290
Mailing address
211 VIA DEL AQUA, CLEWISTON, FL 33440-2420
(863) 233-3846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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