Individual
MOLLY BILLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
142 BOYNTON BLVD, DAYTONA BEACH, FL 32118-5172
(321) 331-6171
Mailing address
142 BOYNTON BLVD, DAYTONA BEACH, FL 32118-5172
(321) 331-6171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 25907
FL
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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