Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Wilson, OTA

Individual provider Occupational Therapy Assistant · NPI 1982365615

Mallory Wilson, OTA is an Occupational Therapy Assistant in Jonesboro, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2022

Practice location Address checks out

1801 Grant Ave
Jonesboro, AR 72401-6155
Phone: (870) 974-9114
Fax: (870) 974-9184
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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 1798 (AR)

Record details

NPI number1982365615
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address1801 Grant Ave, Jonesboro, AR 72401-6155

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