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1982076725
MALLORY WHITE
PORTSMOUTH, OH
NPI
1982076725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.06318)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
Ms. MALLORY WHITE COTA/L
4626 NEW ROSE AVE
PORTSMOUTH, OH 45662-6517
Phone number: 740-876-9086
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Mailing Address
Ms. MALLORY WHITE COTA/L
4626 NEW ROSE AVE
PORTSMOUTH, OH 45662-6517
Phone number: 740-876-9086
Copy
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