Individual
MISS MOLLY GUTTERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
879 E 1259 RD, LAWRENCE, KS 66047-9201
(785) 766-6588
(785) 331-0667
Mailing address
2904 SW 13TH ST, LEES SUMMIT, MO 64081-3800
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-03121
KS
225XP0200X
Pediatric Occupational Therapist
2015032082
MO
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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