Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1390 | ND |
NPI | 1003208232 |
---|---|
Provider Name | Molly Helbling |
First Address | Bismarck, ND 58501-4439 |
Second Address | Bismarck, ND 58501-4439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2015 |
Last Update Date | 15/10/2015 |