| NPI | 1811493661 |
|---|---|
| Former Name | ANN MALLOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CA 20407) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NV 17-0983) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2020-03-20 |