Individual
NICOLE MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4988 N UNIVERSITY DR, LAUDERHILL, FL 33351-5748
(954) 746-7230
Mailing address
8560 NW 47TH CT, LAUDERHILL, FL 33351-5437
(954) 328-5391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 14818
FL
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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