National Provider Identifier
Mallory Sherrard, COTA/L
Mallory Sherrard, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Sinclairville, NY and a listed phone number of (716) 962-5195.
Profile Overview
- NPI
- 1518733179
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- November 27, 2023
- Last Updated
- November 27, 2023
Practice Location
- 43 Sinclair Dr
- Sinclairville, NY 14782-9637
Phone: (716) 962-5195
Mailing Address
- PO Box 540
- Sinclairville, NY 14782-0540
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1518733179
- Entity Type
- Individual
- Last Name
- Sherrard
- First Name
- Mallory
- Credential
- COTA/L
- Mailing Street Address
- PO Box 540
- Mailing City
- Sinclairville
- Mailing State
- NY
- Mailing ZIP Code
- 14782-0540
- Mailing Country
- US
- Mailing Phone
- (716) 962-5155
- Practice Street Address
- 43 Sinclair Dr
- Practice City
- Sinclairville
- Practice State
- NY
- Practice ZIP Code
- 14782-9637
- Practice Country
- US
- Practice Phone
- (716) 962-5195
- Enumeration Date
- November 27, 2023
- Last Updated
- November 27, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)