Individual
MALLORY BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2244 E SHAWNEE RD, MUSKOGEE, OK 74403
(918) 684-9999
(888) 663-4223
Mailing address
2244 E SHAWNEE RD, MUSKOGEE, OK 74403
(918) 684-9999
(888) 663-4223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2245
OK
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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