| NPI | 1952482978 |
|---|---|
| Former Name | MOLLY ANNE SCANLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027724) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO COPT7241) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-06-10 |