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NPI Code Detail

MEDICARE: MOLLY MITCHELL

MEDICARE: MOLLY MITCHELL
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1962853234
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY MITCHELL
Provider Business Mailing Address
First Line : 45 PUTNAM RD
Second Line :
City : FOXBORO
State : MA
Zip : 02035-2133
Country : US
Telephone Number : 401-626-2333
Fax Number :
Provider Business Practice Location Address
First Line : 145 ROSEMARY ST BLDG A
Second Line :
City : NEEDHAM HEIGHTS
State : MA
Zip : 02494-3259
Country : US
Telephone Number : 781-400-2482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 08/24/2023

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Directions to “ MOLLY MITCHELL ” Practice Location

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