Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Marie Gruender, OTR/L

Individual provider Occupational Therapist · NPI 1124888979

Mallory Marie Gruender, OTR/L is an Occupational Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Phone: (980) 302-8271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16635 (NC)

Record details

NPI number1124888979
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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