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Individual
JOYCE MOLAG
Active
Individual
JOYCE MOLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT35867
PT LICENSE
CA
Enumeration date
09/23/2011
Last updated
09/23/2011
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