Individual
MOLLIE MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 253-4093
Mailing address
904 5TH AVE NE, JAMESTOWN, ND 58401-3437
(701) 253-4093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2029
ND
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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