| NPI | 1700850609 |
|---|---|
| Former Name | MOLLY MARIE DUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2803) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5048) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-05-17 |