MISS Mariann Theresa Molocznik, OTRL

NPI #1295003341 in Castleton, New York

Provider Information

NPI Number: 1295003341
Entity Type: Individual
Name: MISS Mariann Theresa Molocznik, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OTRL
Enumeration Date: Dec 5, 2011
Last Updated: Dec 5, 2011

Practice Location

Address: 10 EMPIRE BLVD
City: Castleton
State: New York
ZIP Code: 12033
Phone: (518) 477-8771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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