Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00295900 | NJ |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00295900 | NJ |
NPI | 1871784942 |
---|---|
Provider Name | Stephanie A Molnar |
First Address | Belford, NJ 07718-1220 |
Second Address | Mountainside, NJ 07092-2590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 05/08/2007 |