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Individual

MOLLY NIENHUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3270 LIBERTY RD S, SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Mailing address
3270 LIBERTY RD S, SALEM, OR 97302-4560
(503) 371-0779
(503) 371-0886

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62756
OR

Other

Enumeration date
06/11/2018
Last updated
06/16/2018
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