DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY LEE GARDNER

Active

MALLORY LEE GARDNER is a Occupational Therapy Assistant healthcare provider located in DESLOGE, Missouri. NPI 1558038810 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · DESLOGE, MO

Registration Details

NPI Number
1558038810
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2021 (4.7875322977246 yrs)
Last Updated
Aug 25, 2021
License
2017001953 (MO)

Practice Information

Address
801 BRIM ST
DESLOGE, MO, 636013441
Browse MO providers · Browse ZIP 63601
Phone
5734310023
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in DESLOGE, MO

Name Credential NPI
MRS. EMILY BETH KERNAN COTA/L 1265706618
MISS MCKENZIE LEE KAUGHMAN COTA 1356773287
KAYLA WILLIAMS 1801299813
MISS KELSEY ELIZABETH RYNER COTA 1760929038
ANGELA MCDOWELL 1336671858
MADISON RENEE DAVIS COTA/L 1669296463
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.