MALLORY BALL COTA
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1902649247- Provider Type
- Individual Provider (NPI-1)
- Credentials
- COTA
- Status
- Active
Contact & Location
- Address
- 2244 E SHAWNEE RD, MUSKOGEE, OK, 74403
- Phone
- (918) 684-9999
- Fax
- (888) 663-4223
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: OK #2245