| NPI | 1205357001 |
|---|---|
| Former Name | MOLLY BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2018045090) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13101) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |