Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIMI LYNN MALLO, OTR
ActiveMIMI LYNN MALLO, OTR is a Gerontology Occupational Therapist healthcare provider located in THREE RIVERS, Michigan. NPI 1255802534 is currently active in the NPPES registry. Verify at CMS.
Gerontology Occupational Therapist · THREE RIVERS, MI
Registration Details
- NPI Number
- 1255802534
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2018 (7.7092149848782 yrs)
- Last Updated
- Dec 11, 2018
- License
-
5201003014 (MI)
Practice Information
- Address
-
517 S ERIE STTHREE RIVERS, MI, 490932029Browse MI providers · Browse ZIP 49093
- Phone
- 2692738661
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
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.