Individual
MISS MOLLY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1650 BARLOW ST, TRAVERSE CITY, MI 49686-4721
(231) 941-3100
(231) 922-0382
Mailing address
7071 S CENTER HWY, TRAVERSE CITY, MI 49684-9500
(231) 944-5523
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007526
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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