| NPI | 1750621660 |
|---|---|
| Former Name | MOLLY DEWEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0012706) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0012105) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |