| NPI | 1205234473 |
|---|---|
| Former Name | NANCY ELLEN MOLITOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5438) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1101862) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2020-03-17 |