| 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 |