Individual
MS. MALLORY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1809 E 13TH ST STE 101, TULSA, OK 74104-4419
(918) 579-7100
(918) 579-7110
Mailing address
2658 S YALE AVE, TULSA, OK 74114-4853
(918) 441-6568
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5493
OK
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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