Provider Demographics
NPI:1861770273
Name:NOLAN-JONES, MOLLY (MS OTR/L)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:NOLAN-JONES
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:NOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:1119 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5215
Mailing Address - Country:US
Mailing Address - Phone:206-378-6343
Mailing Address - Fax:206-764-8273
Practice Address - Street 1:1119 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5215
Practice Address - Country:US
Practice Address - Phone:206-378-6343
Practice Address - Fax:206-764-8273
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60013336225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics