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NPI Code Detail

MEDICARE: MALLORY ANN WRIGHT OTR/L

MEDICARE: MALLORY ANN WRIGHT OTR/L
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
1225X00000XOccupational Therapist0119009066VA

General Provider Information

NPI Number : 1891376331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY ANN WRIGHT OTR/L
Provider Business Mailing Address
First Line : 3900 FAIRFAX DR
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1661
Country : US
Telephone Number : 412-956-0526
Fax Number :
Provider Business Practice Location Address
First Line : 803 W BROAD ST STE 100
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22046-3131
Country : US
Telephone Number : 571-378-1272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2021
Last Update Date : 05/13/2024

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Directions to “ MALLORY ANN WRIGHT OTR/L” Practice Location

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