National Provider Identifier
Lori Mallory, OT
Lori Mallory, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Lackawanna, NY and a listed phone number of (716) 822-4781.
Profile Overview
- NPI
- 1962694430
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 17, 2007
- Last Updated
- August 17, 2007
Practice Location
- 1025 Ridge RD
- Lackawanna, NY 14218-1755
Phone: (716) 822-4781
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1962694430
- Entity Type
- Individual
- Last Name
- Mallory
- First Name
- Lori
- Credential
- OT
- Mailing Street Address
- 1025 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1755
- Mailing Country
- US
- Mailing Phone
- (716) 822-4781
- Mailing Fax
- (716) 825-5765
- Practice Street Address
- 1025 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1755
- Practice Country
- US
- Practice Phone
- (716) 822-4781
- Practice Fax
- (716) 825-5765
- Enumeration Date
- August 17, 2007
- Last Updated
- August 17, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)
- Other Identifiers
- 02888219 (NY)