Provider Demographics
NPI:1245999408
Name:MOLINARO, THERESA MARIE (OTR)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:MARIE
Last Name:MOLINARO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BENGER RD
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-1826
Mailing Address - Country:US
Mailing Address - Phone:914-355-1411
Mailing Address - Fax:
Practice Address - Street 1:251 TURN OF RIVER RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1320
Practice Address - Country:US
Practice Address - Phone:203-968-8393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation