Individual
MARY MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71051 651 BLVD, FALLS CITY, NE 68355-1488
(402) 245-0330
Mailing address
71051 651 BLVD, FALLS CITY, NE 68355-1488
(402) 245-0330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
212
NE
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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