Provider Demographics
NPI:1780949446
Name:TELLONE, MOLLY (MA OT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:TELLONE
Suffix:
Gender:F
Credentials:MA OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 NE 169TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-5934
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UW HARING CENTER
Practice Address - Street 2:BOX 357925
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7925
Practice Address - Country:US
Practice Address - Phone:206-685-2058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist