Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY MARIE WILSON
ActiveOccupational Therapy Assistant · NEW SHARON, IA
Registration Details
- NPI Number
- 1073930723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2014 (12.142209868566 yrs)
- Last Updated
- Mar 19, 2014
- License
-
000963 (IA)
Practice Information
- Address
-
502 E MARKET STNEW SHARON, IA, 502079757Browse IA providers · Browse ZIP 50207
- Phone
- 6418951478
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.