Individual
LOREN MALLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 SATELLITE BLVD, SUITE 2250, DULUTH, GA 30096-5037
(800) 381-2195
Mailing address
126 FOREST DR, MARTIN, TN 38237-3639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006233
GA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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