Individual
PAMELA MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
936 EASTWIND DR, WESTERVILLE, OH 43081-3319
(614) 797-5931
Mailing address
936 EASTWIND DR, WESTERVILLE, OH 43081-3319
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.002376
OH
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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