Provider Demographics
NPI:1043738453
Name:MOLLOY, MARGARET (ATC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:MOLLOY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 WINTERSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5233
Mailing Address - Country:US
Mailing Address - Phone:925-786-1884
Mailing Address - Fax:
Practice Address - Street 1:766 WINTERSIDE CIR
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5233
Practice Address - Country:US
Practice Address - Phone:925-786-1884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer