Individual
MOLLYE R LEAS-MEDREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 FAIR ST, WARWICK, RI 02888-4302
(812) 662-5033
Mailing address
555 N MAIN ST # 1439, PROVIDENCE, RI 02904-5722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2014039448
MO
225100000X
Physical Therapist
Primary
PT03827
RI
Other
Enumeration date
01/02/2015
Last updated
07/14/2024
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