MALLORY JACKSON

BATON ROUGE, LA
NPI1205266525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2013-11-22
Last Update Date2019-10-30
Business Address
MALLORY JACKSON
7784 INNOVATION PARK DR
BATON ROUGE, LA 70820-7006
Phone number: 225-343-4232
Mailing Address
MALLORY JACKSON
4841 TEALWOOD CT
BATON ROUGE, LA 70809-3044
Phone number: 504-920-9449
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