Individual
MELODY MOLLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 CONESTOGA WAY APT 7112, HENDERSON, NV 89002-9715
(319) 404-7686
Mailing address
320 CONESTOGA WAY APT 7112, HENDERSON, NV 89002-9715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0520
NV
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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