Individual
MOLLY JO PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3696
(920) 459-3028
Mailing address
723 ADAMS ST, KIEL, WI 53042-1213
(507) 351-7287
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7058-27
WI
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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