Individual
MOLLY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5291 E 60TH AVE, COMMERCE CITY, CO 80022-3203
(970) 520-3123
Mailing address
5291 E 60TH AVE, COMMERCE CITY, CO 80022-3203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001130
CO
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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