Individual
MORGAN MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007994
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R59705361
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/19/2019
Last updated
10/14/2022
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