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

Mimi Lynn Mallo, OTR

Individual provider Gerontology Occupational Therapist · NPI 1255802534

Mimi Lynn Mallo, OTR is a Gerontology Occupational Therapist in Three Rivers, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

517 S Erie St
Three Rivers, MI 49093-2029
Phone: (269) 273-8661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 5201003014 (MI)

Record details

NPI number1255802534
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedDecember 11, 2018
Last updated in NPPESDecember 11, 2018