Mallory Alice Vig, OTR
Mallory Alice Vig, OTR is an Occupational Therapist in Private Practice in Fosston, Minnesota. Qualified in 2018, 8 years ago. Practices with Pine Peak Therapy LLC, a 4-clinician group and accepts Medicare assignment.
- Years since qualifying
- 8
- In the registry since
- 2018
What do these letters mean?
- OTR — Occupational Therapist, Registered
- A nationally registered occupational therapist.
Practice location Address checks out
103 W 1st StFosston, MN 56542
Phone: (218) 431-0009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|
Record details
| NPI number | 1376033357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTR |
| Sole proprietor | No |
| NPI enumerated | May 15, 2018 |
| Last updated in NPPES | June 10, 2025 |
| Certification date | June 10, 2025 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Pine Peak Therapy Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fosston
-
Jordyn M Himley
900 Hilligoss Blvd SE, Fosston, MN 56542-1542 · (218) 435-1133