Individual
MOLLY FASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5229 APPOMATTOX RD, PLEASANT GARDEN, NC 27313-8202
(336) 674-2252
Mailing address
3303 HORSE PEN CREEK RD UNIT 3E, GREENSBORO, NC 27410-9807
(908) 307-6249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11121
NC
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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