Individual
MOLLY NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3960 PATIENT CARE DR, LANSING, MI 48911-4275
(517) 325-0996
Mailing address
6216 PORTER AVE, EAST LANSING, MI 48823-6202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008255
MI
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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