Individual
MOLLI RENE DUTT LOISELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9908 COULOAK DR, STE 100, CHARLOTTE, NC 28216-8678
(704) 801-3065
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16637
NC
Other
Enumeration date
03/19/2024
Last updated
09/25/2025
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