Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1245999408 |
---|---|
Provider Name | Theresa Marie Molinaro |
First Address | Pound Ridge, NY 10576-1826 |
Second Address | Stamford, CT 06905-1320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2021 |
Last Update Date | 14/12/2021 |