Individual
MALLORY IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
1813 WILLOW ST STE 4D, VINCENNES, IN 47591-4279
(812) 316-0072
(812) 316-0072
Mailing address
102 LAKEWOOD DR, VINCENNES, IN 47591
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
03/02/2020
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