MEDICARE: MALORI PARSELLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	7646	NC

General Provider Information

NPI Number	:	1700278652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALORI PARSELLS

Provider Business Mailing Address
First Line	:	8108 DALTONSHIRE DR
Second Line	:
City	:	OAK RIDGE
State	:	NC
Zip	:	27310-9653
Country	:	US
Telephone Number	:	336-339-7281
Fax Number	:

Provider Business Practice Location Address
First Line	:	8108 DALTONSHIRE DR
Second Line	:
City	:	OAK RIDGE
State	:	NC
Zip	:	27310-9653
Country	:	US
Telephone Number	:	336-339-7281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	03/02/2015

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Directions to “ MALORI PARSELLS ” Practice Location

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