Individual
DR. MOLLY ELIZABETH GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11840 SOUTHMORE DR, SUITE 100, CHARLOTTE, NC 28277-4466
(704) 316-4443
(704) 316-4444
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4443
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
13775
NC
2251X0800X
Orthopedic Physical Therapist
Primary
13775
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
08/01/2012
Last updated
12/31/2020
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