Individual
MALLORY TRUMBULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
7525 W STONEY CREEK ST, SIOUX FALLS, SD 57106-7770
(218) 639-7546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
508757
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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