| NPI | 1780111336 |
|---|---|
| Former Name | MOLLY SLUSSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305211051) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC P19671) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-01-20 |