Individual
MOLLY DALZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 E WALNUT ST, PASADENA, CA 91106-1720
(626) 795-7910
(626) 795-7912
Mailing address
913 E WALNUT ST, PASADENA, CA 91106-1720
(626) 795-7910
(626) 795-7912
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
25762
CA
225XM0800X
Mental Health Occupational Therapist
Primary
25762
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2023
Last updated
03/06/2025
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