Brooks, Molly Marie
Brooks, Molly Marie is an sole proprietor health care provider with primary practice located at 845 South Main Street Suite 120, Fond Du Lac WI 54935. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Brooks, Molly Marie can be contacted via phone (920) 322-0447.Contact Information
Primary practice address
845 South Main Street Suite 120
Fond Du Lac WI 54935
Phone: (920) 322-0447
Fax: (920) 322-1362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 1180027 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 1198-827 | Wisconsin |
Profile Details
| NPI number | 1750594065 |
|---|---|
| LBN Legal business name | Brooks, Molly Marie |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Feb 1st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750594065 | NPPES |
| Wisconsin | MEDICAID | 40886600 |
Popular Providers
-
Roberts, Ann Catherine
115 E Arndt St , Fond Du Lac WI 54935-2461 -
Witt, Patti
459 E 1St St , Fond Du Lac WI 54935-4505 -
Rueger, Theresa Lynn
244 N Macy St , Fond Du Lac WI 54935-3362 -
Pomplun, Jody L
845 South Main Street Suite 120, Fond Du Lac WI 54935 -
Schiller, Carol J
430 E Division St , Fond Du Lac WI 54935-4560 -
Cartwright, Cathy J
265 S National Ave , Fond Du Lac WI 54935-5334 -
Vogds, Hanh
115 E Arndt St , Fond Du Lac WI 54935-2461 -
Schwind, Barbara J
430 E Division St , Fond Du Lac WI 54935-4560