Individual
MS. MOLLY P MACKNER-KEIRSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, BAC
Contact information
Practice address
5757 WHITEFORD RD, SYLVANIA, OH 43560-1632
(419) 882-1875
Mailing address
5757 WHITEFORD, SYLVANIA, OH 43560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.08047
OH
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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