NPI 1508620709

Mallary Taylor, COTAL

Practitioner Occupational Therapy Assistant Dardenne Prairie, MO

Practice location

Address: 2025 Hanley Rd, Dardenne Prairie, MO 63368-6734
Phone: (636) 561-5757

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2015036513 (MO)

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Registry record

NPI: 1508620709
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2024
Record last updated: 8 Feb 2024

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.