Provider Demographics
NPI:1861979221
Name:MCDOWELL, CHRISTINA MALLORY (OTRL)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MALLORY
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3469
Mailing Address - Country:US
Mailing Address - Phone:989-246-4846
Mailing Address - Fax:
Practice Address - Street 1:204 LINDEN AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-3469
Practice Address - Country:US
Practice Address - Phone:989-246-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIM234115579517106S00000X
MI5201013265225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician