Laura Michelle Mallory
Developmental Therapist in Tampa, FL. Individual provider (NPI-1).
NPI number1952945461
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1952945461
- Entity type
- Individual (NPI-1)
- Name
- Laura Michelle Mallory
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
13200 McCormick DrTampa, FL 33626-3010
Phone 813-814-5971 · Fax 813-814-5972
Mailing address
12760 Westwood Lakes BlvdTampa, FL 33626-2345
Phone 813-814-5971 · Fax 813-814-5972
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 231 Developmental Therapist providers in Tampa · All 35,121 providers in Tampa
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