MOLLY D LISENBY

PEORIA, IL
NPI1023060001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-013673)
Enumeration Date2006-05-17
Last Update Date2018-07-31
Business Address
MOLLY D LISENBY PT
5009 N EXECUTIVE DR STE B
PEORIA, IL 61614
Phone number: 309-839-8631
Mailing Address
MOLLY D LISENBY PT
5009 N EXECUTIVE DR STE B
PEORIA, IL 61614-4866
Phone number: 309-472-2413
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