Individual provider · Type 1 NPI

Mallory Marie Gruender, OTR/L

Occupational Therapist · Charlotte, NC

NPI number 1124888979 Active

Practice location

2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X16635 (NC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1124888979

Mallory Marie Gruender, OTR/L's National Provider Identifier is 1124888979, issued on Mar 20, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 2, 2024.