| Molly A Mammosser, | |
|
1809 Locust St, Sterling, IL 61081-1101 | |
| (815) 625-4790 | |
| Not Available |
| Full Name | Molly A Mammosser |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1809 Locust St, Sterling, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649925116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Cgh Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly A Mammosser, 101 E Miller Rd, Sterling, IL 61081-1252 Ph: (815) 625-4790 | Molly A Mammosser, 1809 Locust St, Sterling, IL 61081-1101 Ph: (815) 625-4790 |
Karen Habben, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1809 Locust St, Sterling, IL 61081 Phone: 815-625-4790 | |
Lisa J Fox, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-626-2896 | |
Nancy Ann Holm, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 E. Fifth St, Sterling, IL 61081 Phone: 815-625-7931 Fax: 815-625-8098 | |
Nirmal Varma, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 E Lefevre Rd, Sterling, IL 61081 Phone: 815-625-0400 Fax: 815-626-2896 | |
Adam Vincent Beien, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1809 Locust St, Sterling, IL 61081 Phone: 815-632-5285 Fax: 815-632-5824 |