Individual
NICOLE M MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 W COLLEGE AVE, WOODVILLE, OH 43469-1030
(419) 270-8372
Mailing address
822 W COLLEGE AVE, WOODVILLE, OH 43469-1030
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
08380
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08380
OTPTAT
OH
Enumeration date
12/13/2022
Last updated
12/13/2022
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