Provider Demographics
NPI:1881425106
Name:LAMBO, MOLLY (OT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:LAMBO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 HILLSDALE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5231
Mailing Address - Country:US
Mailing Address - Phone:518-774-9831
Mailing Address - Fax:
Practice Address - Street 1:123 HIGH ST
Practice Address - Street 2:
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-1921
Practice Address - Country:US
Practice Address - Phone:978-887-7002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA901095351225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology