Individual
MOLLY A MAMMOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 LOCUST ST, STERLING, IL 61081-1101
(815) 625-4790
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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