Individual
MOLLY TEAGARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26705 BRUSH ST, MADISON HEIGHTS, MI 48071-3520
(248) 561-1619
Mailing address
26705 BRUSH ST, MADISON HEIGHTS, MI 48071-3520
(248) 561-1619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15969
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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