Individual
MOLLYANNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3078 DAUPHIN SQ CONNECTOR, MOBILE, AL 36607-2500
(251) 341-5662
(251) 341-5663
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5005
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
01
—
DB9027
RAILROAD MEDICARE GROUP
AL
Enumeration date
04/17/2007
Last updated
09/15/2010
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