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MALLORY CHILDRESS, COTA/L, B.I.S.

Active

MALLORY CHILDRESS, COTA/L, B.I.S. is a Occupational Therapy Assistant healthcare provider located in AVONDALE, Arizona. NPI 1053705806 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · AVONDALE, AZ

Registration Details

NPI Number
1053705806
Provider Type
Individual
Gender
Female
NPI Issued
Mar 18, 2015 (11.367004569424 yrs)
Last Updated
Mar 18, 2015
License
5379 (AZ)

Practice Information

Address
12550 W PALM LN
AVONDALE, AZ, 853926594
Browse AZ providers · Browse ZIP 85392
Phone
6238242147
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in AVONDALE, AZ

Name Credential NPI
MRS. JANNA RENEE GESS COTA/L 1861658361
MR. ANGEL CHAYREZ COTA/L 1033470406
SONIA LUEVANO COTA/L 1043638596
JUNE CRAWFORD COTA 1427460450
MUNIRAH HENDERSON COTA/L 1407268345
JASMINE AZUCENA FERNANDEZ 1649649385
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.