Individual
MOLLY KATHERINE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2011 S TEXAS AVE, BRYAN, TX 77802-1834
(979) 599-5900
Mailing address
3201 CULLEN TRL, COLLEGE STATION, TX 77845-7363
(936) 553-8966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2147496
TX
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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