Individual
MRS. DONNA MARIE MOLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(973) 790-3095
Mailing address
41 MAIN TER, BLOOMFIELD, NJ 07003-4012
(973) 214-8573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00537700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00537700
OT LICENSE
NJ
Enumeration date
01/06/2012
Last updated
01/06/2012
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