Individual
MALLORY BODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5311 LONGWOOD AVE, PARMA, OH 44134-3800
(440) 842-5300
Mailing address
7590 MALIBU DR, PARMA, OH 44130-5940
(440) 371-3480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011427
OH
Other
Enumeration date
05/25/2021
Last updated
10/26/2023
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