Individual
MARY MALTCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CRESTWOOD DR, ROANOKE, TX 76262-5635
(214) 240-6555
Mailing address
13 CRESTWOOD DR, ROANOKE, TX 76262-5635
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OT17328
FL
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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