Individual
MRS. MOLLY HERZAN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4621 E SUPERIOR ST, DULUTH, MN 55804-2338
(218) 786-3550
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7360
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043319726
—
WI
Enumeration date
09/21/2006
Last updated
07/02/2020
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