SearchTexasOccupational Therapy Assistant

Mallory Powell, COTA

NPI 1053275271 · on the registry since 2025

Practice

Address
5015 Rustic Oak Dr
Longview, TX 75604
Phone
(903) 445-4064
Fax
(430) 558-5855
Organisation at this address
Bespoke Rehabilitation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas