MRS. Mallory Powell, COTA

NPI #1053275271 in Longview, Texas

Provider Information

NPI Number
1053275271
Entity Type
Individual
Name
MRS. Mallory Powell, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Dec 11, 2025
Last Updated
Dec 11, 2025

Practice Location

Address
5015 RUSTIC OAK DR
State
Texas
ZIP Code
75604-8202
Phone
(903) 445-4064

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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