Mallory Lee Gardner
Mallory Lee Gardner is an Occupational Therapy Assistant in Desloge, Missouri. Licensed in Missouri. Registered with an NPI since 2021.
- Licensed in
- MO
- In the registry since
- 2021
Practice location Address checks out
801 Brim StDesloge, MO 63601-3441
Phone: (573) 431-0023
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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 2017001953 (MO) |
|---|
Record details
| NPI number | 1558038810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 25, 2021 |
| Last updated in NPPES | August 25, 2021 |
| Certification date | August 25, 2021 |
| Mailing address | 10637 Hopewell Rd., Mineral Point, MO 63660 |
Other providers in Desloge
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Madison Renee Davis, COTA/L
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223
-
Miss. McKenzie Lee Kaughman, COTA
801 Brim St, Desloge, MO 63601 · (573) 431-0223
-
Mrs. Emily Beth Kernan, COTA/L
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223
-
Angela McDowell
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223
-
Miss. Kelsey Elizabeth Ryner, COTA
801 Brim St, Desloge, MO 63601-3441 · (573) 431-0223