Individual
MRS. MOLLY A MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SELFRIDGE ST, EAST LIVERPOOL, OH 43920-1978
(330) 385-5001
Mailing address
16367 STATE ROUTE 267, EAST LIVERPOOL, OH 43920-3931
(330) 383-6310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04792
OH
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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