Individual provider · Type 1 NPI

Mallory Lee Gardner

Occupational Therapy Assistant · Desloge, MO

NPI number 1558038810 Active

Practice location

801 Brim St
Desloge, MO 63601-3441

Call (573) 431-0023 Map

Mailing address

10637 Hopewell Rd.
Mineral Point, MO 63660

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2017001953 (MO)

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…

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About NPI 1558038810

Mallory Lee Gardner's National Provider Identifier is 1558038810, issued on Aug 25, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Desloge, MO. The record was last updated on Aug 25, 2021.