Individual provider · Type 1 NPI
Mallory Powell, COTA
Occupational Therapy Assistant · Longview, TX
Practice location
5015 Rustic Oak Dr
Longview, TX 75604-8202
Fax (430) 558-5855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 216955 (TX) |
Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…
4 other providers at this address
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About NPI 1053275271
Mallory Powell, COTA's National Provider Identifier is 1053275271, issued on Dec 11, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Longview, TX. The record was last updated on Dec 11, 2025.