Individual
MALLORY HUNTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
161 MILLWOOD DR, AUGUSTA, GA 30907-1307
(706) 312-2319
Mailing address
161 MILLWOOD DR, AUGUSTA, GA 30907-1307
(706) 312-2319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002544
GA
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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