Organization
BACK TO BODY BASICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLORY RICKLOFF OTR/L (OCCUPATIONAL THERAPIST)
(814) 490-9580
Entity
Organization
Contact information
Practice address
16502 GOLF COURSE RD, PARRISH, FL 34219-8637
(813) 518-5749
Mailing address
16502 GOLF COURSE RD, PARRISH, FL 34219-8637
(813) 518-5749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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