SearchArizonaOccupational Therapy Assistant

Mallory Childress, COTA/L, B.I.S

NPI 1053705806 · on the registry since 2015

Practice

Address
12550 W Palm Ln
Avondale, AZ 85392
Phone
(623) 824-2147

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-18

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 Arizona