Active NPIIndividual providerSole proprietor

Miss Mallory Y Koval, COTA

Occupational Therapy Assistant in Williamstown, Massachusetts

NPI Number1851814776
Practice location
25 Adams RD, Williamstown, MA 01267-2928
Fax
—
Last updated
July 23, 2017

Mallory Yvonne Koval is an Occupational Therapy Assistant based in Williamstown, MA. Mallory Yvonne Koval practices in Williamstown, MA and has the professional credentials of COTA. The NPI Number for Mallory Yvonne Koval is 1851814776 and holds a License No. 009348-1 (NY). The current practice location address for Mallory Yvonne Koval is 25 Adams RD, Williamstown, MA 01267-2928 and can be reached out via phone at 413-458-2111.

Provider Profile Details

NPI Number
1851814776
Provider Name
Mallory Yvonne Koval
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
25 Adams RD, Williamstown, MA 01267-2928
Phone Number
413-458-2111
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 23, 2017
Last Update Date
July 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Adams RD
Williamstown, MA 01267-2928
Zip
01267-2928
Phone Number
413-458-2111
Williamstown, MA 01267Get directions →

Provider Business Mailing Address Details

Address
97 Button RD
Waterford, NY 12188-1211
City
Waterford
State
NY
Zip
12188-1211
Phone Number
518-698-4548

License Information

License Number
009348-1
License State
NY
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Mallory Y Koval, COTA?

The NPI number of Miss Mallory Y Koval, COTA is 1851814776. It was assigned on July 23, 2017 and is currently active in the NPPES registry.

What is the specialty of Miss Mallory Y Koval, COTA?

Miss Mallory Y Koval, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 009348-1.

Where does Miss Mallory Y Koval, COTA practice?

The practice location is 25 Adams RD, Williamstown, MA 01267-2928. The office can be reached at 413-458-2111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851814776 directly on the NPPES registry website.

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