Mary Ellen Malloy, OT
NPI #1174679153 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1174679153
- Entity Type
- Individual
- Name
- Mary Ellen Malloy, OT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17280 W NORTH AVE
- Address 2
- 104
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-4366
- Phone
- (262) 780-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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