Individual
MALLORIE RENAE TRICHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 N ACADEMY BLVD STE 227, COLORADO SPRINGS, CO 80917-5338
(719) 425-7771
Mailing address
3165 WOODLAND HILLS DR APT 1013, COLORADO SPRINGS, CO 80918-4673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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