MEDICARE: MICHELLE MOLINARI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1255739256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MOLINARI

Provider Business Mailing Address
First Line	:	1488 LAKEWOOD CIR
Second Line	:
City	:	WASHINGTON
State	:	WV
Zip	:	26181-8006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1488 LAKEWOOD CIR
Second Line	:
City	:	WASHINGTON
State	:	WV
Zip	:	26181-8006
Country	:	US
Telephone Number	:	304-615-2555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	12/08/2014

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Directions to “ MICHELLE MOLINARI ” Practice Location

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