Individual
MALLORY STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
213 ALLEN DR, BRANDON, MS 39047-4617
(601) 927-3795
(888) 408-8272
Mailing address
213 ALLEN DR, BRANDON, MS 39047-4617
(601) 927-3795
(888) 408-8272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3235
MS
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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