Individual
MISS MALLORY L ASHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 308-5117
(601) 308-5103
Mailing address
3 COUNTY ROAD 617A, CORINTH, MS 38834-1186
(901) 412-6441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2627
MS
Other
Enumeration date
06/26/2013
Last updated
04/25/2023
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