Mallory Pulfer, COTA
Individual provider Active NPI Occupational Therapy Assistant · Monroe, TN
NPI 1831869734 · NPPES record last updated Oct 3, 2023
Key facts
- NPI
- 1831869734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3950 (TN)
- Practice address
- 183 Harmon Smith Rd
Monroe, TN 38573-6112 - Phone
- (931) 871-9302
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3950 | TN | MD | Psychologist |
| 18574 | FL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18574 | FL | |
| Occupational Therapy Assistant | 224Z00000X | 3950 | TN | Yes |
Addresses
Primary practice location
183 Harmon Smith Rd
Monroe, TN 38573-6112
Mailing address
183 Harmon Smith Rd
Monroe, TN 38573-6112
Phone (931) 871-9302
Other names
- Mallory Walker-Pulfer
Other providers in Monroe, TN
All providers in Monroe, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.