Individual provider · Type 1 NPI

Mallory Long

Occupational Therapy Assistant · Beaumont, TX

NPI number 1790336188 Active

Practice location

87 Interstate 10 N Ste 225
Beaumont, TX 77707-2549

Fax (409) 835-0151

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X215970 (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…

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About NPI 1790336188

Mallory Long's National Provider Identifier is 1790336188, issued on Sep 26, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Beaumont, TX. The record was last updated on Sep 26, 2019.