Individual provider · Type 1 NPI

Dejanira Breona Mallory, OTR

Occupational Therapist · Dallas, TX

NPI number 1700468618 Active

Practice location

8550 Cadenza Ln
Dallas, TX 75228-4923

Mailing address

5350 Amesbury Dr Apt 315
Dallas, TX 75206-3408

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X121494 (TX)

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 1700468618

Dejanira Breona Mallory, OTR's National Provider Identifier is 1700468618, issued on Apr 21, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Dallas, TX. The record was last updated on Apr 21, 2021.