Individual provider · Type 1 NPI

Mallory Wilson, OTA

Occupational Therapy Assistant · Jonesboro, AR

NPI number 1982365615 Active

Practice location

1801 Grant Ave
Jonesboro, AR 72401-6155

Call (870) 974-9114 Map

Fax (870) 974-9184

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1798 (AR)

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 1982365615

Mallory Wilson, OTA's National Provider Identifier is 1982365615, issued on Jan 5, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jonesboro, AR. The record was last updated on Jan 5, 2022.