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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MOLLY MARIE BROOKS, COTA

Active Sole Proprietor

MRS. MOLLY MARIE BROOKS, COTA is a Occupational Therapy Assistant healthcare provider located in FOND DU LAC, Wisconsin. NPI 1750594065 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FOND DU LAC, WI

Registration Details

NPI Number
1750594065
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2007 (19.249358563114 yrs)
Last Updated
Feb 1, 2010
Licenses
1180027 (WI)
1198-827 (WI)
Sole Proprietor
Yes

Practice Information

Address
845 SOUTH MAIN STREET
SUITE 120
FOND DU LAC, WI, 54935
Browse WI providers · Browse ZIP 54935
Phone
9203220447
Fax
9203221362
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FOND DU LAC, WI

Name Credential NPI
GERALYN S KAHUT COTA 1083661276
CAROL J SCHILLER COTA 1205877420
BARBARA J SCHWIND COTA 1053352211
CATHY J CARTWRIGHT COTA 1104923861
THERESA LYNN RUEGER COTA 1588761258
GRETCHEN CATHERINE HAFEMEISTER COTA 1396967410
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.