Provider Demographics
NPI:1679927727
Name:PINOCCHIO, MALLORY K (OTD, MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:MALLORY
Middle Name:K
Last Name:PINOCCHIO
Suffix:
Gender:F
Credentials:OTD, MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5280
Mailing Address - Country:US
Mailing Address - Phone:775-360-3206
Mailing Address - Fax:775-490-3001
Practice Address - Street 1:3685 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5280
Practice Address - Country:US
Practice Address - Phone:775-360-3206
Practice Address - Fax:775-490-3001
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics