Individual
MRS. DEJANIRA BREONA MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8550 CADENZA LN, DALLAS, TX 75228-4923
(214) 328-4309
Mailing address
5350 AMESBURY DR APT 315, DALLAS, TX 75206-3408
(682) 556-6964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121494
TX
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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