Suzanne Mary Molesky
Occupational Therapist - Pediatrics
5170 Lower Fayetteville Rd
Sharpsburg
, Georgia 30277-2156
Suzanne Mary Molesky
Occupational Therapist - Pediatrics
5170 Lower Fayetteville Rd
Sharpsburg
, Georgia 30277-2156
(770) 254-9635
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Suzanne Mary Molesky
- 5170 Lower Fayetteville Rd
- Sharpsburg, GA
- Zip : 30277-2156
- Fax : (770) 254-9635
- Phone : (770) 252-3310
Second Address
- Suzanne Mary Molesky
- 5170 Lower Fayetteville Rd
- Sharpsburg, GA
- Zip : 30277-2156
- Fax : (770) 254-9635
- Phone : (770) 252-3310
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Is Suzanne Mary Molesky a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OT004006 | GA |
National Provider Identifier
| NPI | 1023173176 |
|---|---|
| Provider Name | Suzanne Mary Molesky |
| First Address | Sharpsburg, GA 30277-2156 |
| Second Address | Sharpsburg, GA 30277-2156 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10047313 | PROVIDER (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.