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

VICKI SUE MALLORY, OTA

Active

VICKI SUE MALLORY, OTA is a Occupational Therapy Assistant healthcare provider located in DUNDEE, Michigan. NPI 1760071526 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · DUNDEE, MI

Registration Details

NPI Number
1760071526
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2021 (5.3899554443339 yrs)
Last Updated
Jan 15, 2021
Licenses
OTA001657 (OH)
5202006867 (MI)

Practice Information

Address
100 POWELL DR
DUNDEE, MI, 481318644
Browse MI providers · Browse ZIP 48131
Phone
5172661481
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in DUNDEE, MI

Name Credential NPI
JENNIFER LYNN BERI 1487243358
DANIELLE RENEE SIMS COTA/L 1326637257
JENNIFER M MONROE COTA 1871183285
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.