Individual
MOLLIE BUELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 S WATERFORD DR, SPOKANE, WA 99203-4400
(509) 960-2324
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
(847) 441-0734
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5319
MT
224Z00000X
Occupational Therapy Assistant
OC60822643
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC60822643
OTA LICENSE
WA
Enumeration date
10/17/2017
Last updated
04/20/2023
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