Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY WILSON, OTA
Active Sole ProprietorMALLORY WILSON, OTA is a Occupational Therapy Assistant healthcare provider located in JONESBORO, Arkansas. NPI 1982365615 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · JONESBORO, AR
Registration Details
- NPI Number
- 1982365615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2022 (4.5871319449374 yrs)
- Last Updated
- Jan 5, 2022
- License
-
1798 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 GRANT AVEJONESBORO, AR, 724016155Browse AR providers · Browse ZIP 72401
- Phone
- 8709749114
- Fax
- 8709749184
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in JONESBORO, AR
| Name | Credential | NPI |
|---|---|---|
| TANYA M CILLI | OT-A | 1164619748 |
| AMANDA HARMON | — | 1205070760 |
| CATHY ANN PECK | COTA | 1255650628 |
| VIVIAN SMITH-SHAW | — | 1154622462 |
| ERICA LEIGH ANN BAUGH | COTA/L | 1023314267 |
| MS. JESSICA DANIELLE PHILLIPS | COTA/L | 1740588136 |
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.