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Individual

MRS. MICHELE MARIE MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
(920) 720-7350
Mailing address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
(920) 720-7350

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4177-026
WI
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
4177-026
WI

Other

Enumeration date
09/27/2007
Last updated
09/27/2007
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