MALLORY CHILDRESS

AVONDALE, AZ
NPI1053705806
Former NameMALLORY WALTENBURG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  5379)
Enumeration Date2015-03-18
Last Update Date2015-03-18
Business Address
-- MALLORY CHILDRESS COTA/L, B.I.S.
12550 W PALM LN
AVONDALE, AZ 85392-6594
Phone number: 623-824-2147
Mailing Address
-- MALLORY CHILDRESS COTA/L, B.I.S.
12550 W PALM LN
AVONDALE, AZ 85392-6594
Phone number: 623-824-2147
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