Mallory Pulfer, COTA
Occupational Therapy Assistant in Monroe, TN. Individual provider (NPI-1).
NPI number1831869734
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1831869734
- Entity type
- Individual (NPI-1)
- Name
- Mallory Pulfer
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2021
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 3950 | TN | Yes |
| 224Z00000X | Occupational Therapy Assistant | 18574 | FL |
Other names
- Mallory Walker-Pulfer (Other Name)
Practice location
183 Harmon Smith RdMonroe, TN 38573-6112
Phone 931-871-9302
Mailing address
183 Harmon Smith RdMonroe, TN 38573-6112
Phone 931-871-9302
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