Individual
MOLLY MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19929 GREENLEY RD, SONORA, CA 95370-5996
(209) 533-2500
Mailing address
925 S SEMORAN BLVD STE 110A, WINTER PARK, FL 32792-5313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5632
CA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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