Individual
MRS. MARY JEAN MOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
202 CHESTERFIELD AVE, CENTREVILLE, MD 21617-1308
(410) 758-2403
Mailing address
1147 MERMAID DR, ANNAPOLIS, MD 21409-4779
(410) 507-6088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03301
MD
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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