Mallory Long
Mallory Long is an Occupational Therapy Assistant in Beaumont, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2019
Practice location Address checks out
87 Interstate 10 N Ste 225Beaumont, TX 77707-2549
Phone: (409) 835-0228
Fax: (409) 835-0151
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 215970 (TX) |
|---|
Record details
| NPI number | 1790336188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2019 |
| Last updated in NPPES | September 26, 2019 |
| Mailing address | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 |
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