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Individual

MARY-LOU MOLLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3195 STILLWATER DR, SUITE A, PRESCOTT, AZ 86305-7171
(928) 771-9327
(928) 771-9519
Mailing address
7314 E WREN DR, PRESCOTT VALLEY, AZ 86314-5313

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2345
AZ

Other

Enumeration date
10/04/2007
Last updated
10/04/2007
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