Individual
JARED MALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4937 E 5TH ST STE 115, TUCSON, AZ 85711-2282
(480) 447-3262
Mailing address
4937 E 5TH ST STE 115, TUCSON, AZ 85711-2282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007289
AZ
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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