Individual
MS. MOLLY HOGAN MIKULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-7546
Mailing address
5602 WALNUT ST, OMAHA, NE 68106-2263
(402) 630-8114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005
NE
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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