Individual
MALLORY COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1157 S WEBB RD APT 916, WICHITA, KS 67207-4138
(316) 990-6794
Mailing address
1157 S WEBB RD APT 916, WICHITA, KS 67207-4138
(316) 990-6794
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00882
KS
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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