Individual
MALLORY DORIS NOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
2341 S DELAWARE CT, TULSA, OK 74114-1830
(918) 269-1849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5562
OK
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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