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Individual

MOLLY CARVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MTO

Contact information

Practice address
325 S UNIVERSITY RD STE 101, SPOKANE VALLEY, WA 99206-6164
(509) 921-9798
(509) 921-9774
Mailing address
325 S UNIVERSITY RD STE 101, SPOKANE VALLEY, WA 99206-6164
(509) 921-9798

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60534685
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT60534685
LICENSE
WA
Enumeration date
10/28/2019
Last updated
10/28/2019
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