Latasha Nicole Mallard
Latasha Nicole Mallard is an Occupational Therapy Assistant in Carrollton, Georgia. Licensed in Georgia. Registered with an NPI since 2023.
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
150 Cottage LnCarrollton, GA 30117-6200
Phone: (770) 830-8857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA002989 (GA) |
|---|
Record details
| NPI number | 1053183723 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 26, 2023 |
| Last updated in NPPES | October 26, 2023 |
| Certification date | October 26, 2023 |
Other providers in Carrollton
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Tina Denise Barnes, COTA/L
156 Pine Knoll Dr, Carrollton, GA 30117-2451 · (770) 832-8243
-
Charis D Shephard, COTA/L
2327 N Highway 27, Carrollton, GA 30117-6701 · (770) 834-4404
-
Mrs. Dayla Deese Wittmeyer
121 Carter Ave, Carrollton, GA 30117-4308 · (404) 402-7633