Mallory L Vance
Occupational Therapist
960 Commonwealth Blvd
Tupelo
, Mississippi 38804-9762
Mallory L Vance
Occupational Therapist
960 Commonwealth Blvd
Tupelo
, Mississippi 38804-9762
(717) 565-1104
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mallory L Vance
- 8205 Presidents Dr
- Hummelstown, PA
- Zip : 17036-8621
- Fax : (717) 565-1104
- Phone : (717) 839-2188
Second Address
- Mallory L Vance
- 960 Commonwealth Blvd
- Tupelo, MS
- Zip : 38804-9762
- Fax : (662) 260-3790
- Phone : (662) 260-3789
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | PT3794 | MS |
National Provider Identifier
| NPI | 1003424748 |
|---|---|
| Provider Name | Mallory L Vance |
| First Address | Hummelstown, PA 17036-8621 |
| Second Address | Tupelo, MS 38804-9762 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2020 |
| Last Update Date | 20/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.