Individual
LENA M MALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3050 N ORMSBY BLVD, CARSON CITY, NV 89703-8378
(775) 841-4646
Mailing address
864 MICA DR, CARSON CITY, NV 89705-7118
(425) 737-3792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
17-0921
NV
225X00000X
Occupational Therapist
Primary
17-0921
NV
Other
Enumeration date
12/07/2018
Last updated
12/11/2020
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