Individual provider · Type 1 NPI

Mary Ellen Malloy, OT

Occupational Therapist · Brookfield, WI

NPI number 1174679153 Active

Practice location

17280 W North Ave, 104
Brookfield, WI 53045-4366

Call (262) 780-0707 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1191 (WI)

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 1174679153

Mary Ellen Malloy, OT's National Provider Identifier is 1174679153, issued on Jan 25, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Brookfield, WI. The record was last updated on Jul 8, 2007.