Individual
SUZANNE MARY MOLESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5170 LOWER FAYETTEVILLE RD, SHARPSBURG, GA 30277-2156
(770) 252-3310
(770) 254-9635
Mailing address
5170 LOWER FAYETTEVILLE RD, SHARPSBURG, GA 30277-2156
(770) 252-3310
(770) 254-9635
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004006
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10047313
PROVIDER
GA
Enumeration date
12/27/2006
Last updated
07/09/2007
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