Individual
MRS. SHARON K MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2290 HIGH BRIDGE RD, WILMORE, KY 40390-9707
(859) 858-3282
Mailing address
2290 HIGH BRIDGE RD, WILMORE, KY 40390-9707
(859) 858-3282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
134060
KY
225X00000X
Occupational Therapist
Primary
R0159
KY
Other
Enumeration date
06/19/2013
Last updated
06/27/2016
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