Individual
MOLLY THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12520 PROSPERITY DR STE 210, SILVER SPRING, MD 20904-1684
(301) 869-7505
Mailing address
931 CROFTON VALLEY DR, GAMBRILLS, MD 21054-1650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
08452
MD
208100000X
Physical Medicine & Rehabilitation Physician
08452
MD
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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