MALLORY A VIRGIN

EVANSVILLE, IN
NPI1750617460
Former NameMALLORY A TRICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001704A)
Enumeration Date2009-10-30
Last Update Date2012-08-31
Business Address
-- MALLORY A VIRGIN COTA
7300 E INDIANA ST SUITE 102
EVANSVILLE, IN 47715-2794
Phone number: 812-759-7457
Mailing Address
-- MALLORY A VIRGIN COTA
7300 E INDIANA ST SUITE 102
EVANSVILLE, IN 47715-2794
Phone number: 812-476-0409
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