MALLORY CHILDRESS COTA/L, B.I.S.
NPI 1053705806
Occupational Therapy Assistant in Avondale, AZ
About Mallory Childress Cota/l, B.i.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY CHILDRESS COTA/L, B.I.S. (NPI 1053705806) is an individual occupational therapy assistant in Avondale, Arizona, licensed in Arizona (5379) and active in the NPI registry since March 2015.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mallory Childress's NPI number?
The NPI number for Mallory Childress is 1053705806. It was assigned to this individual provider in the NPPES registry on March 18, 2015. The provider is also known as Mallory Waltenburg.
Where is Mallory Childress located?
Mallory Childress practices at 12550 W Palm Ln, Avondale, AZ 85392. The listed phone number is (623) 824-2147.
What is Mallory Childress's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Mallory Childress was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.