| NPI | 1609643485 |
|---|---|
| Former Name | MOLLY MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070027924) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022025556) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-29 |