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Individual
MOLLY ANNE VIALL
Active
Individual
MOLLY ANNE VIALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MOT, BS, LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
60768056
WA
225700000X
Massage Therapist
9922
MT
225X00000X
Occupational Therapist
Primary
6940
MT
Other
Enumeration date
02/11/2018
Last updated
01/22/2020
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