Organization
DR. PINOCCHIO OTD INC., A PROFESSIONAL CORPORATION
Active
Other names
Dr. Pinocchio Pediatric Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY PINOCCHIO OTD (OWNER)
(775) 360-3206
Entity
Organization
Contact information
Practice address
3685 LAKESIDE DR, RENO, NV 89509-5280
(775) 360-3206
(775) 490-3001
Mailing address
3685 LAKESIDE DR, RENO, NV 89509-5280
(775) 360-3206
(775) 490-3001
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528627494
—
NV
Enumeration date
06/13/2019
Last updated
06/27/2023
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