Mallory Nichole Shoukletovich, M.S. OTR/L
NPI #1225695901 in Springfield, Tennessee
Provider Information
- NPI Number
- 1225695901
- Entity Type
- Individual
- Name
- Mallory Nichole Shoukletovich, M.S. OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- M.S. OTR/L
- Enumeration Date
- May 28, 2019
- Last Updated
- May 28, 2019
Practice Location
- Address
- 3131 TOM AUSTIN HWY
- City
- Springfield
- State
- Tennessee
- ZIP Code
- 37172-4801
- Phone
- (615) 382-7979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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