NPI | 1962515387 |
---|---|
Former Name | MOLLIE R. LEMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 002465) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21834) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2016-01-26 |