Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY LONG
Active Sole ProprietorMALLORY LONG is a Occupational Therapy Assistant healthcare provider located in BEAUMONT, Texas. NPI 1790336188 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BEAUMONT, TX
Registration Details
- NPI Number
- 1790336188
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2019 (6.8966251289113 yrs)
- Last Updated
- Sep 26, 2019
- License
-
215970 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
87 INTERSTATE 10 N STE 225BEAUMONT, TX, 777072549Browse TX providers · Browse ZIP 77707
- Phone
- 4098350228
- Fax
- 4098350151
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BEAUMONT, TX
| Name | Credential | NPI |
|---|---|---|
| MS. BERTHIDE JOACHIN | COTA/L | 1346424595 |
| RICHARD CALLESTO JR. | COTA | 1124260971 |
| MR. WILLIAM HALE FOSTER JR. | COTA | 1275775827 |
| BARBARA NETT | COTA | 1245551084 |
| KATHY JO CLINE | COTA/L | 1619282134 |
| HOLLY SMITH | B.S., COTA | 1316359953 |
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.