Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATASHA NICOLE MALLARD
ActiveLATASHA NICOLE MALLARD is a Occupational Therapy Assistant healthcare provider located in CARROLLTON, Georgia. NPI 1053183723 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CARROLLTON, GA
Registration Details
- NPI Number
- 1053183723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2023 (2.7616198296525 yrs)
- Last Updated
- Oct 26, 2023
- License
-
OTA002989 (GA)
Practice Information
- Address
-
150 COTTAGE LNCARROLLTON, GA, 301176200Browse GA providers · Browse ZIP 30117
- Phone
- 7708308857
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CARROLLTON, GA
| Name | Credential | NPI |
|---|---|---|
| TINA DENISE BARNES | COTA/L | 1598497992 |
| MRS. DAYLA DEESE WITTMEYER | — | 1184316218 |
| CHARIS D SHEPHARD | COTA/L | 1306724745 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.