Individual
MRS. MOLLY A. HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
35 S MAIN ST, PETERSBURG, WV 26847-1727
(304) 257-2606
Mailing address
50 POINT DR, PETERSBURG, WV 26847-9608
(304) 257-9383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000813
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9420158000
—
WV
Enumeration date
04/09/2007
Last updated
07/08/2007
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