NPI 1053275271
Mallory Powell, COTA
Practice location
- Address
- 5015 Rustic Oak Dr, Longview, TX 75604-8202
- Phone
- (903) 445-4064
- Fax
- (430) 558-5855
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1053275271
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Dec 2025
- Record last updated
- 11 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.