Individual
MALLORY POLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
891 DORSEY HOTEL RD, GRANTSVILLE, MD 21536-1369
(301) 895-5194
Mailing address
189 DINNER BELL OHIOPYLE RD, FARMINGTON, PA 15437-1372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08608
MD
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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