Individual
MOLLY J GARDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6372
Mailing address
502 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000994
IA
Other
Enumeration date
06/21/2013
Last updated
11/06/2020
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