Individual
MALLORY SHERRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
43 SINCLAIR DR, SINCLAIRVILLE, NY 14782-9637
(716) 962-5195
Mailing address
PO BOX 540, SINCLAIRVILLE, NY 14782-0540
(716) 962-5155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011487
NY
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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