Individual
MALLORY SCROGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1719 CLAWSON ST, ALTON, IL 62002-4702
(217) 409-6405
(618) 462-1133
Mailing address
1719 CLAWSON ST, ALTON, IL 62002-4702
(217) 409-6405
(618) 462-1133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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