Individual
MOLLY ELAINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
620 5TH AVE, WILLIAMSPORT, PA 17701-4764
(570) 279-6572
Mailing address
620 5TH AVE, WILLIAMSPORT, PA 17701-4764
(570) 279-6572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008139
PA
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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