Individual
MALLORY LAURA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1745 PIKE AVE, RICHLAND, WA 99354-2295
(509) 946-8954
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61023277
WA
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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