National Provider Identifier
Mallory Ann McIntosh, OTR/L
Mallory Ann McIntosh, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in North Tonawanda, NY and a listed phone number of (716) 625-4002.
Profile Overview
- NPI
- 1124576384
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- September 16, 2016
- Last Updated
- September 16, 2016
Practice Location
- 5205 Oakwood Dr
- North Tonawanda, NY 14120-9618
Phone: (716) 625-4002
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1124576384
- Entity Type
- Individual
- Last Name
- McIntosh
- First Name
- Mallory
- Middle Name
- Ann
- Name Prefix
- Miss
- Credential
- OTR/L
- Mailing Street Address
- 5205 Oakwood Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-9618
- Mailing Country
- US
- Mailing Phone
- (716) 625-4002
- Practice Street Address
- 5205 Oakwood Dr
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-9618
- Practice Country
- US
- Practice Phone
- (716) 625-4002
- Enumeration Date
- September 16, 2016
- Last Updated
- September 16, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)