Individual
MALLORY KLONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 COLUMBUS AVE, SANDUSKY, OH 44870
(419) 366-0096
Mailing address
318 COLUMBUS AVE, SANDUSKY, OH 44870
(419) 366-0096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008560
OH
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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