Mallory Long

Occupational Therapy Assistant · Beaumont, TX

Individual Active NPI

NPI number 1790336188

Practice location

87 Interstate 10 N Ste 225
Beaumont, TX 77707-2549
Phone
(409) 835-0228
Fax
(409) 835-0151

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NPI record

NPI
1790336188
Entity type
Individual (Type 1)
Enumeration date
September 26, 2019
Last updated
September 26, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 215970 TX

About Mallory Long

Mallory Long is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549. The NPI number 1790336188 was assigned on September 26, 2019 and the record was last updated on September 26, 2019.

Mallory Long lists a license in the registry: #215970 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Long?

The NPI number is 1790336188.

What is the phone number of Mallory Long?

The phone number listed for the practice location is (409) 835-0228.

Where is Mallory Long located?

87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549.

What is the taxonomy code for Mallory Long?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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