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Individual

MS. HEATHER MOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1351 ROBINWOOD RD, GASTONIA, NC 28054-1693
(704) 867-2319
Mailing address
2900 MORSON ST, CHARLOTTE, NC 28208-3960
(704) 491-5877

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11655
NC

Other

Enumeration date
03/30/2018
Last updated
03/30/2018
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